DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2023
|
592858719
|
2025-01-23
|
DEWEY L. BRACY, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Signature of
Role |
Plan administrator |
Date |
2025-01-23 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2022
|
592858719
|
2024-03-11
|
DEWEY L. BRACY, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Signature of
Role |
Plan administrator |
Date |
2024-03-11 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2021
|
592858719
|
2023-01-17
|
DEWEY L. BRACY, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Signature of
Role |
Plan administrator |
Date |
2023-01-17 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2020
|
592858719
|
2022-01-17
|
DEWEY L. BRACY, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Signature of
Role |
Plan administrator |
Date |
2022-01-17 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2019
|
592858719
|
2020-11-05
|
DEWEY L. BRACY, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Signature of
Role |
Plan administrator |
Date |
2020-11-05 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2018
|
592858719
|
2020-01-07
|
DEWEY L. BRACY, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Signature of
Role |
Plan administrator |
Date |
2020-01-07 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2017
|
592858719
|
2019-01-03
|
DEWEY L. BRACY, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Signature of
Role |
Plan administrator |
Date |
2019-01-03 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2016
|
592858719
|
2018-01-22
|
DEWEY L. BRACY, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Signature of
Role |
Plan administrator |
Date |
2018-01-22 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2015
|
592858719
|
2017-04-19
|
DEWEY L. BRACY, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Plan administrator’s name and address
Administrator’s EIN |
592858719 |
Plan administrator’s name |
DEWEY L. BRACY, D.M.D., P.A. |
Plan administrator’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234 |
Administrator’s telephone number |
7273430824 |
Signature of
Role |
Plan administrator |
Date |
2017-04-19 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEWEY L. BRACY, D.M.D., P.A. 401(K)PROFIT SHARING PLAN
|
2014
|
592858719
|
2016-01-07
|
DEWEY L. BRACY, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7273430824
|
Plan sponsor’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234
|
Plan administrator’s name and address
Administrator’s EIN |
592858719 |
Plan administrator’s name |
DEWEY L. BRACY, D.M.D., P.A. |
Plan administrator’s
address |
7755 38TH AVENUE NORTH, ST. PETERSBURG, FL, 337101234 |
Administrator’s telephone number |
7273430824 |
Signature of
Role |
Plan administrator |
Date |
2016-01-07 |
Name of individual signing |
DEWEY BRACY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|