|
H. JAMES MILLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
650125864
|
2015-09-24
|
H. JAMES MILLER, D.D.S., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9545831514
|
| Plan sponsor’s
address |
420 NW 74TH AVENUE, PLANTATION, FL, 333171618
|
Signature of
| Role |
Plan administrator |
| Date |
2015-09-24 |
| Name of individual signing |
H. JAMES MILLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
H. JAMES MILLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
650125864
|
2014-09-23
|
H. JAMES MILLER, D.D.S., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9545831514
|
| Plan sponsor’s
address |
420 NW 74TH AVENUE, PLANTATION, FL, 333171618
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-23 |
| Name of individual signing |
H. JAMES MILLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
H. JAMES MILLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
650125864
|
2013-02-28
|
H. JAMES MILLER, D.D.S., P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9545831514
|
| Plan sponsor’s
address |
420 NW 74TH AVENUE, PLANTATION, FL, 333171618
|
Plan administrator’s name and address
| Administrator’s EIN |
650125864 |
| Plan administrator’s name |
H. JAMES MILLER, D.D.S., P.A. |
| Plan administrator’s
address |
420 NW 74TH AVENUE, PLANTATION, FL, 333171618 |
| Administrator’s telephone number |
9545831514 |
Signature of
| Role |
Plan administrator |
| Date |
2013-02-28 |
| Name of individual signing |
H. JAMES MILLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
H. JAMES MILLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
650125864
|
2012-03-20
|
H. JAMES MILLER, D.D.S., P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9545831514
|
| Plan sponsor’s
address |
420 NW 74TH AVENUE, PLANTATION, FL, 333171618
|
Plan administrator’s name and address
| Administrator’s EIN |
650125864 |
| Plan administrator’s name |
H. JAMES MILLER, D.D.S., P.A. |
| Plan administrator’s
address |
420 NW 74TH AVENUE, PLANTATION, FL, 333171618 |
| Administrator’s telephone number |
9545831514 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-20 |
| Name of individual signing |
H. JAMES MILLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
H. JAMES MILLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
650125864
|
2011-03-14
|
H. JAMES MILLER, D.D.S., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9545831514
|
| Plan sponsor’s
address |
420 NW 74TH AVENUE, PLANTATION, FL, 333171618
|
Plan administrator’s name and address
| Administrator’s EIN |
650125864 |
| Plan administrator’s name |
H. JAMES MILLER, D.D.S., P.A. |
| Plan administrator’s
address |
420 NW 74TH AVENUE, PLANTATION, FL, 333171618 |
| Administrator’s telephone number |
9545831514 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-14 |
| Name of individual signing |
H. JAMES MILLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
