ORLANDO FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
203232694
|
2015-06-22
|
ORLANDO FAMILY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4072959096
|
Plan sponsor’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328356350
|
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
RAUL CASTANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
203232694
|
2015-06-22
|
ORLANDO FAMILY DENTAL LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4072959096
|
Plan sponsor’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328356350
|
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
RAUL CASTANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
203232694
|
2014-05-02
|
ORLANDO FAMILY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4072959096
|
Plan sponsor’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328350000
|
Signature of
Role |
Plan administrator |
Date |
2014-05-02 |
Name of individual signing |
RAUL CASTANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
203232694
|
2014-05-02
|
ORLANDO FAMILY DENTAL LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4072959096
|
Plan sponsor’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328356350
|
Signature of
Role |
Plan administrator |
Date |
2014-05-02 |
Name of individual signing |
RAUL CASTANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
203232694
|
2014-05-02
|
ORLANDO FAMILY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4072959096
|
Plan sponsor’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328356350
|
Signature of
Role |
Plan administrator |
Date |
2014-05-02 |
Name of individual signing |
ORLANDO FAMILY DENTAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
203232694
|
2014-05-02
|
ORLANDO FAMILY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4072959096
|
Plan sponsor’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328356350
|
Plan administrator’s name and address
Administrator’s EIN |
203232694 |
Plan administrator’s name |
ORLANDO FAMILY DENTAL LLC |
Plan administrator’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328356350 |
Administrator’s telephone number |
4072959096 |
Signature of
Role |
Plan administrator |
Date |
2014-05-02 |
Name of individual signing |
ORLANDO FAMILY DENTAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
203232694
|
2014-05-02
|
ORLANDO FAMILY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4072959096
|
Plan sponsor’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328350000
|
Plan administrator’s name and address
Administrator’s EIN |
203232694 |
Plan administrator’s name |
ORLANDO FAMILY DENTAL LLC |
Plan administrator’s
address |
3300 S HIAWASSEE RD STE 101, ORLANDO, FL, 328350000 |
Administrator’s telephone number |
4072959096 |
Signature of
Role |
Plan administrator |
Date |
2014-05-02 |
Name of individual signing |
ORLANDO FAMILY DENTAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|