JAMES L. CARAZOLA, D.M.D., P.A. RETIREMENT PLAN & TRUST
|
2021
|
592657510
|
2022-02-08
|
JAMES L. CARAZOLA, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7277994492
|
Plan sponsor’s
address |
3532 SHORELINE CIRCLE, PALM HARBOR, FL, 34684
|
Signature of
Role |
Plan administrator |
Date |
2022-02-08 |
Name of individual signing |
JAMES L. CARAZOLA, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES L. CARAZOLA, D.M.D., P.A. RETIREMENT PLAN & TRUST
|
2021
|
592657510
|
2022-03-18
|
JAMES L. CARAZOLA, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7277994492
|
Plan sponsor’s
address |
3532 SHORELINE CIRCLE, PALM HARBOR, FL, 34684
|
Signature of
Role |
Plan administrator |
Date |
2022-03-18 |
Name of individual signing |
JAMES L. CARAZOLA, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES L. CARAZOLA, D.M.D., P.A. RETIREMENT PLAN & TRUST
|
2020
|
592657510
|
2021-04-08
|
JAMES L. CARAZOLA, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7277994492
|
Plan sponsor’s
address |
3532 SHORELINE CIRCLE, PALM HARBOR, FL, 34684
|
Signature of
Role |
Plan administrator |
Date |
2021-04-08 |
Name of individual signing |
JAMES L. CARAZOLA, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES L. CARAZOLA, D.M.D., P.A. RETIREMENT PLAN & TRUST
|
2019
|
592657510
|
2020-09-11
|
JAMES L. CARAZOLA, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7277994492
|
Plan sponsor’s
address |
3532 SHORELINE CIRCLE, PALM HARBOR, FL, 34684
|
Signature of
Role |
Plan administrator |
Date |
2020-09-11 |
Name of individual signing |
JAMES L. CARAZOLA, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES L. CARAZOLA, D.M.D., P.A. RETIREMENT PLAN & TRUST
|
2018
|
592657510
|
2019-07-12
|
JAMES L. CARAZOLA, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7277994492
|
Plan sponsor’s
address |
3532 SHORELINE CIRCLE, PALM HARBOR, FL, 34684
|
Signature of
Role |
Plan administrator |
Date |
2019-07-12 |
Name of individual signing |
JAMES L. CARAZOLA, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|