T. DOUGLAS SPLANE, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2013
|
592400954
|
2014-08-21
|
T. DOUGLAS SPLANE, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043870501
|
Plan sponsor’s
address |
3630 ST JOHNS AVENUE, JACKSONVILLE, FL, 32205
|
|
T. DOUGLAS SPLANE, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2013
|
592400954
|
2014-02-17
|
T. DOUGLAS SPLANE, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043870501
|
Plan sponsor’s
address |
3630 ST JOHNS AVENUE, JACKSONVILLE, FL, 32205
|
|
T. DOUGLAS SPLANE, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2012
|
592400954
|
2013-10-08
|
T. DOUGLAS SPLANE, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043870501
|
Plan sponsor’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065
|
Plan administrator’s name and address
Administrator’s EIN |
592400954 |
Plan administrator’s name |
T. DOUGLAS SPLANE, D.M.D P.A. |
Plan administrator’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065 |
Administrator’s telephone number |
9043870501 |
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
T. DOUGLAS SPLANE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
T. DOUGLAS SPLANE, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2011
|
592400954
|
2012-09-24
|
T. DOUGLAS SPLANE, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043870501
|
Plan sponsor’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065
|
Plan administrator’s name and address
Administrator’s EIN |
592400954 |
Plan administrator’s name |
T. DOUGLAS SPLANE, D.M.D P.A. |
Plan administrator’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065 |
Administrator’s telephone number |
9043870501 |
Signature of
Role |
Plan administrator |
Date |
2012-09-24 |
Name of individual signing |
T. DOUGLAS SPLANE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
T. DOUGLAS SPLANE, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2010
|
592400954
|
2011-09-29
|
T. DOUGLAS SPLANE, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043870501
|
Plan sponsor’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065
|
Plan administrator’s name and address
Administrator’s EIN |
592400954 |
Plan administrator’s name |
T. DOUGLAS SPLANE, D.M.D P.A. |
Plan administrator’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065 |
Administrator’s telephone number |
9043870501 |
Signature of
Role |
Plan administrator |
Date |
2011-09-29 |
Name of individual signing |
T. DOUGLAS SPLANE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
T. DOUGLAS SPLANE, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2009
|
592400954
|
2010-09-22
|
T. DOUGLAS SPLANE, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043870501
|
Plan sponsor’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065
|
Plan administrator’s name and address
Administrator’s EIN |
592400954 |
Plan administrator’s name |
T. DOUGLAS SPLANE, D.M.D P.A. |
Plan administrator’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065 |
Administrator’s telephone number |
9043870501 |
Signature of
Role |
Plan administrator |
Date |
2010-09-22 |
Name of individual signing |
T. DOUGLAS SPLANE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
T. DOUGLAS SPLANE, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2009
|
592400954
|
2010-09-22
|
T. DOUGLAS SPLANE, D.M.D., P.A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043870501
|
Plan sponsor’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065
|
Plan administrator’s name and address
Administrator’s EIN |
592400954 |
Plan administrator’s name |
T. DOUGLAS SPLANE, D.M.D P.A. |
Plan administrator’s
address |
3630 ST. JOHNS AVENUE, JACKSONVILLE, FL, 322059065 |
Administrator’s telephone number |
9043870501 |
Signature of
Role |
Plan administrator |
Date |
2010-09-22 |
Name of individual signing |
T. DOUGLAS SPLANE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|