SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2016
|
208153302
|
2017-07-29
|
SEASIDE SMILES, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2017-07-29 |
Name of individual signing |
MINDY HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2015
|
208153302
|
2016-09-19
|
SEASIDE SMILES, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2016-09-19 |
Name of individual signing |
MINDY HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2014
|
208153302
|
2015-07-29
|
SEASIDE SMILES, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
ANDREW HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-29 |
Name of individual signing |
ANDREW HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2013
|
208153302
|
2014-08-29
|
SEASIDE SMILES, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2014-08-29 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-29 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2012
|
208153302
|
2013-10-01
|
SEASIDE SMILES, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-01 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2011
|
208153302
|
2012-09-04
|
SEASIDE SMILES, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Plan administrator’s name and address
Administrator’s EIN |
208153302 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960 |
Administrator’s telephone number |
7725626880 |
Signature of
Role |
Plan administrator |
Date |
2012-09-04 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-04 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2010
|
208153302
|
2011-07-11
|
SEASIDE SMILES, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Plan administrator’s name and address
Administrator’s EIN |
208153302 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960 |
Administrator’s telephone number |
7725626880 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-11 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2009
|
208153302
|
2010-10-20
|
SEASIDE SMILES, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Plan administrator’s name and address
Administrator’s EIN |
208153302 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960 |
Administrator’s telephone number |
7725626880 |
Signature of
Role |
Plan administrator |
Date |
2010-10-20 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-20 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SEASIDE SMILES, PLLC PROFIT SHARING PLAN
|
2009
|
208153302
|
2010-10-14
|
SEASIDE SMILES, PLLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7725626880
|
Plan sponsor’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960
|
Plan administrator’s name and address
Administrator’s EIN |
208153302 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
3725 12 CT, STE B, VERO BEACH, FL, 32960 |
Administrator’s telephone number |
7725626880 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
MINDY M. HALL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|