JULIAN R. CHAPMAN, D.D.S., P.A.401(K) PLAN
|
2016
|
650009764
|
2018-01-17
|
JULIAN R. CHAPMAN, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612720040
|
Plan sponsor’s
address |
10317 WEST TARA BLVD., BOYNTON BEACH, FL, 33437
|
Signature of
Role |
Plan administrator |
Date |
2018-01-17 |
Name of individual signing |
JULIAN R. CHAPMAN, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIAN R. CHAPMAN, D.D.S., P.A.401(K) PLAN
|
2015
|
650009764
|
2017-01-26
|
JULIAN R. CHAPMAN, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612720040
|
Plan sponsor’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483
|
Signature of
Role |
Plan administrator |
Date |
2017-01-26 |
Name of individual signing |
JULIAN R. CHAPMAN, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIAN R. CHAPMAN, D.D.S., P.A.401(K) PLAN
|
2014
|
650009764
|
2016-03-22
|
JULIAN R. CHAPMAN, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612720040
|
Plan sponsor’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483
|
Signature of
Role |
Plan administrator |
Date |
2016-03-22 |
Name of individual signing |
JULIAN R. CHAPMAN, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIAN R. CHAPMAN, D.D.S., P.A.401(K) PLAN
|
2013
|
650009764
|
2015-06-30
|
JULIAN R. CHAPMAN, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612720040
|
Plan sponsor’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
Administrator’s EIN |
650009764 |
Plan administrator’s name |
JULIAN R. CHAPMAN, D.D.S., P.A. |
Administrator’s telephone number |
5612720040 |
Signature of
Role |
Plan administrator |
Date |
2015-06-30 |
Name of individual signing |
JULIAN R. CHAPMAN, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIAN R. CHAPMAN, D.D.S., P.A.401(K) PLAN
|
2012
|
650009764
|
2014-06-18
|
JULIAN R. CHAPMAN, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612720040
|
Plan sponsor’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
Administrator’s EIN |
650009764 |
Plan administrator’s name |
JULIAN R. CHAPMAN, D.D.S., P.A. |
Administrator’s telephone number |
5612720040 |
Signature of
Role |
Plan administrator |
Date |
2014-06-18 |
Name of individual signing |
JULIAN R. CHAPMAN, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIAN R. CHAPMAN, D.D.S., P.A.401(K) PLAN
|
2011
|
650009764
|
2012-12-06
|
JULIAN R. CHAPMAN, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612720040
|
Plan sponsor’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
Administrator’s EIN |
650009764 |
Plan administrator’s name |
JULIAN R. CHAPMAN, D.D.S., P.A. |
Plan administrator’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483 |
Administrator’s telephone number |
5612720040 |
Signature of
Role |
Plan administrator |
Date |
2012-12-05 |
Name of individual signing |
JULIAN CHAPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIAN R. CHAPMAN, D.D.S., P.A.401(K) PLAN
|
2010
|
650009764
|
2012-06-14
|
JULIAN R. CHAPMAN, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612720040
|
Plan sponsor’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
Administrator’s EIN |
650009764 |
Plan administrator’s name |
JULIAN R. CHAPMAN, D.D.S., P.A. |
Plan administrator’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483 |
Administrator’s telephone number |
5612720040 |
Signature of
Role |
Plan administrator |
Date |
2012-06-14 |
Name of individual signing |
JULIAN CHAPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIAN R. CHAPMAN, D.D.S., P.A.401(K) PLAN
|
2009
|
650009764
|
2010-11-16
|
JULIAN R. CHAPMAN, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612720040
|
Plan sponsor’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
Administrator’s EIN |
650009764 |
Plan administrator’s name |
JULIAN R. CHAPMAN, D.D.S., P.A. |
Plan administrator’s
address |
845 N. E. 6TH AVENUE, DELRAY BEACH, FL, 33483 |
Administrator’s telephone number |
5612720040 |
Signature of
Role |
Plan administrator |
Date |
2010-11-16 |
Name of individual signing |
JULIAN CHAPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|