CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
592860813
|
2023-10-16
|
CYPRESS POINT DENTISTRY, P.A.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
592860813
|
2022-10-18
|
CYPRESS POINT DENTISTRY, P.A.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Signature of
Role |
Plan administrator |
Date |
2022-10-18 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
592860813
|
2021-07-13
|
CYPRESS POINT DENTISTRY, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
592860813
|
2020-08-25
|
CYPRESS POINT DENTISTRY, P.A.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Signature of
Role |
Plan administrator |
Date |
2020-08-25 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
592860813
|
2019-09-17
|
CYPRESS POINT DENTISTRY, P.A.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Signature of
Role |
Plan administrator |
Date |
2019-09-17 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
592860813
|
2018-07-23
|
CYPRESS POINT DENTISTRY, P.A.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
592860813
|
2017-07-25
|
CYPRESS POINT DENTISTRY, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
592860813
|
2016-08-16
|
CYPRESS POINT DENTISTRY, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Signature of
Role |
Plan administrator |
Date |
2016-08-16 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
592860813
|
2015-09-28
|
CYPRESS POINT DENTISTRY, P.A.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Signature of
Role |
Plan administrator |
Date |
2015-09-28 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS POINT DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
592860813
|
2014-06-23
|
CYPRESS POINT DENTISTRY, P.A.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3864456677
|
Plan sponsor’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164
|
Plan administrator’s name and address
Administrator’s EIN |
592860813 |
Plan administrator’s name |
CYPRESS POINT DENTISTRY, P.A. |
Plan administrator’s
address |
105 CYPRESS POINT PARKWAY, SUITE A, PALM COAST, FL, 32164 |
Administrator’s telephone number |
3864456677 |
Signature of
Role |
Plan administrator |
Date |
2014-06-23 |
Name of individual signing |
MIA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|