|
JOHN R. WESTINE, DDS, PA
|
2021
|
591374931
|
2023-03-16
|
JOHN R WESTINE
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-10-31
|
| Business code |
621210
|
| Sponsor’s telephone number |
5612783202
|
| Plan sponsor’s mailing address |
250 DIXIE BLVD STE 100, DELRAY BEACH, FL, 334443857
|
| Plan sponsor’s
address |
250 DIXIE BLVD STE 100, DELRAY BEACH, FL, 334443857
|
Number of participants as of the end of the plan year
| Active participants |
4 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| 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 |
2023-03-16 |
| Name of individual signing |
JOHN WESTINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOHN R WESTINE, DDS, PA
|
2020
|
591374931
|
2022-09-29
|
JOHN R WESTINE
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-10-31
|
| Business code |
621210
|
| Sponsor’s telephone number |
5612783202
|
| Plan sponsor’s mailing address |
250 DIXIE BLVD STE 100, DELRAY BEACH, FL, 334443857
|
| Plan sponsor’s
address |
250 DIXIE BLVD STE 100, DELRAY BEACH, FL, 334443857
|
Number of participants as of the end of the plan year
| Active participants |
4 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| 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 |
2022-09-29 |
| Name of individual signing |
JOHN WESTINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOHN R WESTINE, DDS, PA
|
2019
|
591374931
|
2021-03-19
|
JOHN R WESTINE
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-10-31
|
| Business code |
621210
|
| Sponsor’s telephone number |
5612783202
|
| Plan
sponsor’s DBA name |
DR. JOHN R WESTINE
|
| Plan sponsor’s mailing address |
250 DIXIE BLVD STE 100, DELRAY BEACH, FL, 334443857
|
| Plan sponsor’s
address |
250 DIXIE BLVD STE 100, DELRAY BEACH, FL, 334443857
|
Number of participants as of the end of the plan year
| Active participants |
4 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| 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 |
2021-03-19 |
| Name of individual signing |
JOHN WESTINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOHN R WESTINE, DDS, PA
|
2018
|
591374931
|
2020-01-08
|
JOHN R WESTINE
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-10-31
|
| Business code |
621210
|
| Sponsor’s telephone number |
5612783202
|
| Plan sponsor’s mailing address |
250 DIXIE BLVD STE 100, DELRAY BEACH, FL, 334443857
|
| Plan sponsor’s
address |
250 DIXIE BLVD STE 100, DELRAY BEACH, FL, 334443857
|
Number of participants as of the end of the plan year
| Active participants |
4 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| 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 |
2020-01-08 |
| Name of individual signing |
JOHN WESTINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
