NGUYEN DENTAL PL 401 K PROFIT SHARING PLAN TRUST
|
2014
|
260222419
|
2015-05-28
|
NGUYEN DENTAL PL
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8139631900
|
Plan sponsor’s
address |
5306 VAN DYKE RD, LUTZ, FL, 335584829
|
Signature of
Role |
Plan administrator |
Date |
2015-05-28 |
Name of individual signing |
YEN NGUYEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NGUYEN DENTAL PL 401 K PROFIT SHARING PLAN TRUST
|
2013
|
260222419
|
2014-09-04
|
NGUYEN DENTAL PL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8139631900
|
Plan sponsor’s
address |
5306 VAN DYKE RD, LUTZ, FL, 335584829
|
Signature of
Role |
Plan administrator |
Date |
2014-09-04 |
Name of individual signing |
YEN NGUYEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NGUYEN DENTAL PL 401 K PROFIT SHARING PLAN TRUST
|
2012
|
260222419
|
2014-09-04
|
NGUYEN DENTAL PL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8139631900
|
Plan sponsor’s
address |
17553 NORTH DALE MABRY HWY, LUTZ, FL, 335484829
|
Signature of
Role |
Plan administrator |
Date |
2014-09-04 |
Name of individual signing |
NGUYEN DENTAL PL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NGUYEN DENTAL PL 401 K PROFIT SHARING PLAN TRUST
|
2011
|
260222419
|
2014-09-04
|
NGUYEN DENTAL PL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8139631900
|
Plan sponsor’s
address |
5306 VAN DYKE RD, LUTZ, FL, 335584829
|
Plan administrator’s name and address
Administrator’s EIN |
260222419 |
Plan administrator’s name |
NGUYEN DENTAL PL |
Plan administrator’s
address |
5306 VAN DYKE RD, LUTZ, FL, 335584829 |
Administrator’s telephone number |
8139631900 |
Signature of
Role |
Plan administrator |
Date |
2014-09-04 |
Name of individual signing |
NGUYEN DENTAL PL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NGUYEN DENTAL PL 401 K PROFIT SHARING PLAN TRUST
|
2010
|
260222419
|
2014-09-04
|
NGUYEN DENTAL PL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139631900
|
Plan sponsor’s
address |
5306 VAN DYKE RD, LUTZ, FL, 33558
|
Plan administrator’s name and address
Administrator’s EIN |
260222419 |
Plan administrator’s name |
NGUYEN DENTAL PL |
Plan administrator’s
address |
5306 VAN DYKE RD, LUTZ, FL, 33558 |
Administrator’s telephone number |
8139631900 |
Signature of
Role |
Plan administrator |
Date |
2014-09-04 |
Name of individual signing |
NGUYEN DENTAL PL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|