THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
592578043
|
2021-02-26
|
THOMAS C. BRICK, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2021-02-26 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
592578043
|
2020-10-13
|
THOMAS C. BRICK, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
592578043
|
2019-09-18
|
THOMAS C. BRICK, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
592578043
|
2018-08-23
|
THOMAS C. BRICK, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2018-08-23 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
592578043
|
2017-10-04
|
THOMAS C. BRICK, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2017-10-04 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
592578043
|
2016-09-28
|
THOMAS C. BRICK, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2016-09-28 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
592578043
|
2015-09-21
|
THOMAS C. BRICK, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2015-09-21 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
592578043
|
2014-09-22
|
THOMAS C. BRICK, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2014-09-22 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
592578043
|
2013-09-25
|
THOMAS C. BRICK, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
THOMAS BRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. BRICK, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
592578043
|
2012-09-21
|
THOMAS C. BRICK, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2392621341
|
Plan sponsor’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102
|
Plan administrator’s name and address
Administrator’s EIN |
592578043 |
Plan administrator’s name |
THOMAS C. BRICK, D.M.D., P.A. |
Plan administrator’s
address |
855 CENTRAL AVENUE, NAPLES, FL, 34102 |
Administrator’s telephone number |
2392621341 |
Signature of
Role |
Plan administrator |
Date |
2012-09-21 |
Name of individual signing |
JAMES RALEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|