AFSOON ELMORE DDS PLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
205615305
|
2021-05-06
|
AFSOON ELMORE DDS PLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
4073762191
|
Plan sponsor’s
address |
668 N ORLANDO AVE STE 1008, MAITLAND, FL, 327514459
|
Signature of
Role |
Plan administrator |
Date |
2021-05-06 |
Name of individual signing |
AFSOON ELMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AFSOON ELMORE DDS PLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
205615305
|
2019-03-21
|
AFSOON ELMORE DDS PLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
4076184834
|
Plan sponsor’s
address |
668 N ORLANDO AVE, STE1008, MAITLAND, FL, 327511008
|
Signature of
Role |
Plan administrator |
Date |
2019-03-21 |
Name of individual signing |
AFSOON ELMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AFSOON ELMORE DDS PLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
205615305
|
2018-07-18
|
AFSOON ELMORE DDS PLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
4073762191
|
Plan sponsor’s
address |
668 N ORLANDO AVE STE 1008, MAITLAND, FL, 327514459
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
PITAGAYE DOWNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AFSOON ELMORE DDS PLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
205615305
|
2017-11-28
|
AFSOON ELMORE DDS PLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
4073762191
|
Plan sponsor’s
address |
668 N ORLANDO AVE STE 1008, MAITLAND, FL, 327514459
|
Signature of
Role |
Plan administrator |
Date |
2017-11-28 |
Name of individual signing |
PITAGAYEDOWNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AFSOON ELMORE DDS PLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
205615305
|
2017-11-28
|
AFSOON ELMORE DDS PLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
4073762191
|
Plan sponsor’s
address |
668 N ORLANDO AVE STE 1008, MAITLAND, FL, 327514459
|
Signature of
Role |
Plan administrator |
Date |
2017-11-28 |
Name of individual signing |
PITAGAYEDOWNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AFSOON ELMORE DDS PLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
205615305
|
2017-11-28
|
AFSOON ELMORE DDS PLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
4073762191
|
Plan sponsor’s
address |
668 N ORLANDO AVE STE 1008, MAITLAND, FL, 327514459
|
Signature of
Role |
Plan administrator |
Date |
2017-11-28 |
Name of individual signing |
PITAGAYEDOWNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AFSOON ELMORE DDS PLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
205615305
|
2014-07-31
|
AFSOON ELMORE DDS PLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
4073762191
|
Plan sponsor’s
address |
2715 LAKE VIEW DRIVE, FERN PARK, FL, 32730
|
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
AFSOON ELMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|