BOB W. DEASON, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
592614015
|
2013-10-09
|
BOB W. DEASON, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047246321
|
Plan sponsor’s
address |
4205 STRATFORD WAY, JACKSONVILLE, FL, 32225
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
BOB W. DEASON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
BOB W. DEASON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOB W. DEASON, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
592614015
|
2012-10-11
|
BOB W. DEASON, D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047246321
|
Plan sponsor’s
address |
4205 STRATFORD WAY, JACKSONVILLE, FL, 32225
|
Plan administrator’s name and address
Administrator’s EIN |
592614015 |
Plan administrator’s name |
BOB W. DEASON, D.D.S., P.A. |
Plan administrator’s
address |
4205 STRATFORD WAY, JACKSONVILLE, FL, 32225 |
Administrator’s telephone number |
9047246321 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
BOB W. DEASON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
BOB W. DEASON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOB W. DEASON, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
592614015
|
2011-09-22
|
BOB W. DEASON, D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047246321
|
Plan sponsor’s
address |
765 MILL CREEK ROAD, JACKSONVILLE, FL, 32211
|
Plan administrator’s name and address
Administrator’s EIN |
592614015 |
Plan administrator’s name |
BOB W. DEASON, D.D.S., P.A. |
Plan administrator’s
address |
765 MILL CREEK ROAD, JACKSONVILLE, FL, 32211 |
Administrator’s telephone number |
9047246321 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
BOB W. DEASON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-22 |
Name of individual signing |
BOB W. DEASON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOB W. DEASON, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
592614015
|
2010-09-17
|
BOB W. DEASON, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047246321
|
Plan sponsor’s
address |
765 MILL CREEK ROAD, JACKSONVILLE, FL, 32211
|
Plan administrator’s name and address
Administrator’s EIN |
592614015 |
Plan administrator’s name |
BOB W. DEASON, D.D.S., P.A. |
Plan administrator’s
address |
765 MILL CREEK ROAD, JACKSONVILLE, FL, 32211 |
Administrator’s telephone number |
9047246321 |
Signature of
Role |
Plan administrator |
Date |
2010-09-17 |
Name of individual signing |
BOB W. DEASON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-17 |
Name of individual signing |
BOB W. DEASON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|