WINTER SPRINGS ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
205053355
|
2012-10-08
|
CANTON COVE ENDODONTICS, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4076960053
|
Plan sponsor’s
address |
5738 CANTON COVE, SUITE 100, WINTER SPRINGS, FL, 32708
|
Plan administrator’s name and address
Administrator’s EIN |
205053355 |
Plan administrator’s name |
CANTON COVE ENDODONTICS, LLC |
Plan administrator’s
address |
5738 CANTON COVE, SUITE 100, WINTER SPRINGS, FL, 32708 |
Administrator’s telephone number |
4076960053 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
MICHAEL LOURIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
MICHAEL LOURIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WINTER SPRINGS ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
205053355
|
2011-10-13
|
CANTON COVE ENDODONTICS, LLC
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4076960053
|
Plan sponsor’s
address |
5738 CANTON COVE, SUITE 100, WINTER SPRINGS, FL, 32708
|
Plan administrator’s name and address
Administrator’s EIN |
205053355 |
Plan administrator’s name |
CANTON COVE ENDODONTICS, LLC |
Plan administrator’s
address |
5738 CANTON COVE, SUITE 100, WINTER SPRINGS, FL, 32708 |
Administrator’s telephone number |
4076960053 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
MICHAEL LOURIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
MICHAEL LOURIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANTON COVE ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
205053355
|
2012-10-08
|
CANTON COVE ENDODONTICS, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4076960053
|
Plan sponsor’s
address |
5738 CANTON COVE, SUITE 100, WINTER SPRINGS, FL, 32708
|
Plan administrator’s name and address
Administrator’s EIN |
205053355 |
Plan administrator’s name |
CANTON COVE ENDODONTICS, LLC |
Plan administrator’s
address |
5738 CANTON COVE, SUITE 100, WINTER SPRINGS, FL, 32708 |
Administrator’s telephone number |
4076960053 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
MICHAEL LOURIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
MICHAEL LOURIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANTON COVE ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
205053355
|
2010-08-05
|
CANTON COVE ENDODONTICS, LLC
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4076960053
|
Plan sponsor’s
address |
5738 CANTON COVE, SUITE 100, WINTER SPRINGS, FL, 32708
|
Plan administrator’s name and address
Administrator’s EIN |
205053355 |
Plan administrator’s name |
CANTON COVE ENDODONTICS, LLC |
Plan administrator’s
address |
5738 CANTON COVE, SUITE 100, WINTER SPRINGS, FL, 32708 |
Administrator’s telephone number |
4076960053 |
Signature of
Role |
Plan administrator |
Date |
2010-08-05 |
Name of individual signing |
MICHAEL LOURIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-05 |
Name of individual signing |
MICHAEL LOURIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|