|
JEFFREY H. BAUMRUCKER, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST
|
2011
|
592834993
|
2012-08-13
|
JEFFREY H. BAUMRUCKER, D.D.S., P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7273761384
|
| Plan sponsor’s
address |
3130 SEVEN SPRINGS BLVD., NEW PORT RICHEY, FL, 34655
|
Plan administrator’s name and address
| Administrator’s EIN |
592834993 |
| Plan administrator’s name |
JEFFREY H. BAUMRUCKER, D.D.S., P.A. |
| Plan administrator’s
address |
3130 SEVEN SPRINGS BLVD., NEW PORT RICHEY, FL, 34655 |
| Administrator’s telephone number |
7273761384 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-13 |
| Name of individual signing |
MONIQUE BAUMRUCKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEFFREY H. BAUMRUCKER, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST
|
2011
|
592834993
|
2012-03-23
|
JEFFREY H. BAUMRUCKER, D.D.S., P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7273761384
|
| Plan sponsor’s
address |
3130 SEVEN SPRINGS BLVD., NEW PORT RICHEY, FL, 34655
|
Plan administrator’s name and address
| Administrator’s EIN |
592834993 |
| Plan administrator’s name |
JEFFREY H. BAUMRUCKER, D.D.S., P.A. |
| Plan administrator’s
address |
3130 SEVEN SPRINGS BLVD., NEW PORT RICHEY, FL, 34655 |
| Administrator’s telephone number |
7273761384 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-23 |
| Name of individual signing |
MONIQUE BAUMRUCKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEFFREY H. BAUMRUCKER, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST
|
2010
|
592834993
|
2011-04-19
|
JEFFREY H. BAUMRUCKER, D.D.S., P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7273761384
|
| Plan sponsor’s
address |
3130 SEVEN SPRINGS BLVD., NEW PORT RICHEY, FL, 34655
|
Plan administrator’s name and address
| Administrator’s EIN |
592834993 |
| Plan administrator’s name |
JEFFREY H. BAUMRUCKER, D.D.S., P.A. |
| Plan administrator’s
address |
3130 SEVEN SPRINGS BLVD., NEW PORT RICHEY, FL, 34655 |
| Administrator’s telephone number |
7273761384 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-19 |
| Name of individual signing |
MONIQUE BAUMRUCKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEFFREY H. BAUMRUCKER, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST
|
2009
|
592834993
|
2010-07-15
|
JEFFREY H. BAUMRUCKER, D.D.S., P.A.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7273761384
|
| Plan sponsor’s
address |
3130 SEVEN SPRINGS BLVD., NEW PORT RICHEY, FL, 34655
|
Plan administrator’s name and address
| Administrator’s EIN |
592834993 |
| Plan administrator’s name |
JEFFREY H. BAUMRUCKER, D.D.S., P.A. |
| Plan administrator’s
address |
3130 SEVEN SPRINGS BLVD., NEW PORT RICHEY, FL, 34655 |
| Administrator’s telephone number |
7273761384 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-15 |
| Name of individual signing |
JEFFREY H. BAUMRUCKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
