|
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
205933188
|
2011-01-19
|
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL
|
10
|
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
2007-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3866760705
|
| Plan sponsor’s mailing address |
555 W GRANADA BLVD, SUITE E-2, ORMOND BEACH, FL, 32174
|
| Plan sponsor’s
address |
555 W. GRANADA BLVD., SUITE E-2, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
| Administrator’s EIN |
205933188 |
| Plan administrator’s name |
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL |
| Plan administrator’s
address |
555 W GRANADA BLVD, SUITE E-2, ORMOND BEACH, FL, 32174 |
| Administrator’s telephone number |
3866760705 |
Number of participants as of the end of the plan year
| Active participants |
11 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-19 |
| Name of individual signing |
BRUCE MANNE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-19 |
| Name of individual signing |
BRUCE MANNE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL RETIREMENT PLAN
|
2009
|
205933188
|
2011-01-25
|
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2007-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3866760705
|
| Plan sponsor’s mailing address |
555 W GRANADA BLVD, SUITE E-2, ORMOND BEACH, FL, 32174
|
| Plan sponsor’s
address |
555 W. GRANADA BLVD., SUITE E-2, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
| Administrator’s EIN |
205933188 |
| Plan administrator’s name |
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL |
| Plan administrator’s
address |
555 W GRANADA BLVD, SUITE E-2, ORMOND BEACH, FL, 32174 |
| Administrator’s telephone number |
3866760705 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-01-25 |
| Name of individual signing |
BRUCE MANNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-25 |
| Name of individual signing |
BRUCE MANNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
205933188
|
2011-01-25
|
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
2007-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3866760705
|
| Plan sponsor’s mailing address |
555 W GRANADA BLVD, SUITE E-2, ORMOND BEACH, FL, 32174
|
| Plan sponsor’s
address |
555 W. GRANADA BLVD., SUITE E-2, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
| Administrator’s EIN |
205933188 |
| Plan administrator’s name |
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL |
| Plan administrator’s
address |
555 W GRANADA BLVD, SUITE E-2, ORMOND BEACH, FL, 32174 |
| Administrator’s telephone number |
3866760705 |
Number of participants as of the end of the plan year
| Active participants |
11 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-25 |
| Name of individual signing |
BRUCE MANNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-25 |
| Name of individual signing |
BRUCE MANNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
205933188
|
2011-01-24
|
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL
|
10
|
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
2007-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3866760705
|
| Plan sponsor’s mailing address |
555 W GRANADA BLVD, SUITE E-2, ORMOND BEACH, FL, 32174
|
| Plan sponsor’s
address |
555 W. GRANADA BLVD., SUITE E-2, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
| Administrator’s EIN |
205933188 |
| Plan administrator’s name |
MANNE & BORER ENDODONTICS AND MICRO SURGERY, PL |
| Plan administrator’s
address |
555 W GRANADA BLVD, SUITE E-2, ORMOND BEACH, FL, 32174 |
| Administrator’s telephone number |
3866760705 |
Number of participants as of the end of the plan year
| Active participants |
11 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-21 |
| Name of individual signing |
BRUCE MANNE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-21 |
| Name of individual signing |
BRUCE MANNE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
