|
JOHN H. GALBERRY, D.D.S. P.A., PROFIT SHARING PLAN
|
2010
|
592667209
|
2011-04-19
|
JOHN H. GALBERRY, D.D.S., P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8636472776
|
| Plan sponsor’s
address |
745 CRESCENT HILLS DRIVE, LAKELAND, FL, 33813
|
Plan administrator’s name and address
| Administrator’s EIN |
592667209 |
| Plan administrator’s name |
JOHN H. GALBERRY, D.D.S., P.A. |
| Plan administrator’s
address |
745 CRESCENT HILLS DRIVE, LAKELAND, FL, 33813 |
| Administrator’s telephone number |
8636472776 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-19 |
| Name of individual signing |
JOHN H. GALBERRY, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOHN H. GALBERRY, D.D.S. P.A., PROFIT SHARING PLAN
|
2010
|
592667209
|
2011-07-05
|
JOHN H. GALBERRY, D.D.S., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8636472776
|
| Plan sponsor’s
address |
745 CRESCENT HILLS DRIVE, LAKELAND, FL, 33813
|
Plan administrator’s name and address
| Administrator’s EIN |
592667209 |
| Plan administrator’s name |
JOHN H. GALBERRY, D.D.S., P.A. |
| Plan administrator’s
address |
745 CRESCENT HILLS DRIVE, LAKELAND, FL, 33813 |
| Administrator’s telephone number |
8636472776 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-05 |
| Name of individual signing |
JOHN H. GALBERRY, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOHN H. GALBERRY, D.D.S. P.A., PROFIT SHARING PLAN
|
2009
|
592667209
|
2010-08-17
|
JOHN H. GALBERRY, D.D.S., P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8636878990
|
| Plan sponsor’s
address |
3003 S. FLORIDA AVENUE, SUITE 101, LAKELAND, FL, 33803
|
Plan administrator’s name and address
| Administrator’s EIN |
592667209 |
| Plan administrator’s name |
JOHN H. GALBERRY, D.D.S., P.A. |
| Plan administrator’s
address |
3003 S. FLORIDA AVENUE, SUITE 101, LAKELAND, FL, 33803 |
| Administrator’s telephone number |
8636878990 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-17 |
| Name of individual signing |
JOHN H. GALBERRY, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
