ROBERT E. KAROL, DMD, PA 401(K) PROFIT SHARING PLAN AND TRUST
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2023
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592710777
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2024-10-11
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ROBERT E. KAROL, D.M.D., P.A.
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1
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File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH CT., PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
KEVIN CHEEZUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
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ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
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592710777
|
2016-07-12
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ROBERT E. KAROL, D.M.D., P.A.
|
9
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH CT., PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
ROBERT E. KAROL, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
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592710777
|
2015-08-26
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ROBERT E. KAROL, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH CT., PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2015-08-26 |
Name of individual signing |
ROBERT KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-26 |
Name of individual signing |
ROBERT KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
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ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
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592710777
|
2014-06-30
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ROBERT E. KAROL, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH CT., PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
ROBERT KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-30 |
Name of individual signing |
ROBERT KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
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592710777
|
2013-07-19
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ROBERT E. KAROL, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH CT., PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
ROBERT E. KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-19 |
Name of individual signing |
ROBERT E. KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
592710777
|
2012-10-08
|
ROBERT E. KAROL, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH CT., PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
Administrator’s EIN |
592710777 |
Plan administrator’s name |
ROBERT E. KAROL, D.M.D., P.A. |
Plan administrator’s
address |
9004 PORTSMOUTH CT., PONTE VEDRA BEACH, FL, 32082 |
Administrator’s telephone number |
9043561010 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
ROBERT KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
ROBERT KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
592710777
|
2012-10-08
|
ROBERT E. KAROL, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH COURT, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
Administrator’s EIN |
592710777 |
Plan administrator’s name |
ROBERT E. KAROL, D.M.D., P.A. |
Plan administrator’s
address |
9004 PORTSMOUTH COURT, PONTE VEDRA BEACH, FL, 32082 |
Administrator’s telephone number |
9043561010 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
ROBERT E. KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
ROBERT E. KAROL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
592710777
|
2011-10-11
|
ROBERT E. KAROL, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH COURT, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
Administrator’s EIN |
592710777 |
Plan administrator’s name |
ROBERT E. KAROL, D.M.D., P.A. |
Plan administrator’s
address |
9004 PORTSMOUTH COURT, PONTE VEDRA BEACH, FL, 32082 |
Administrator’s telephone number |
9043561010 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
CHARLES A. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
592710777
|
2010-10-14
|
ROBERT E. KAROL, D.M.D., P.A.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH COURT, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
Administrator’s EIN |
592710777 |
Plan administrator’s name |
ROBERT E. KAROL, D.M.D., P.A. |
Plan administrator’s
address |
9004 PORTSMOUTH COURT, PONTE VEDRA BEACH, FL, 32082 |
Administrator’s telephone number |
9043561010 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
ROBERT KAROL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
ROBERT E. KAROL, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
592710777
|
2010-11-15
|
ROBERT E. KAROL, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9043561010
|
Plan sponsor’s
address |
9004 PORTSMOUTH COURT, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
Administrator’s EIN |
592710777 |
Plan administrator’s name |
ROBERT E. KAROL, D.M.D., P.A. |
Plan administrator’s
address |
9004 PORTSMOUTH COURT, PONTE VEDRA BEACH, FL, 32082 |
Administrator’s telephone number |
9043561010 |
Signature of
Role |
Plan administrator |
Date |
2010-11-15 |
Name of individual signing |
STEPHANIE GOLDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
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