O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
271135326
|
2023-10-11
|
O'BRIEN SMILES, PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
8936 77T TERRACE EAST, SUITE 103, LAKEWOOD, FL, 34202
|
Signature of
Role |
Plan administrator |
Date |
2023-10-11 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-11 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
271135326
|
2022-07-29
|
O'BRIEN SMILES, PLLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
8936 77T TERRACE EAST, SUITE 103, LAKEWOOD, FL, 34202
|
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-29 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
271135326
|
2023-10-04
|
O'BRIEN SMILES, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
8936 77T TERRACE EAST, SUITE 103, LAKEWOOD, FL, 34202
|
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-04 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
271135326
|
2021-05-28
|
O'BRIEN SMILES, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
8936 77T TERRACE EAST, SUITE 103, LAKEWOOD, FL, 34202
|
Signature of
Role |
Plan administrator |
Date |
2021-05-26 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-26 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
271135326
|
2020-09-21
|
O'BRIEN SMILES, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
8936 77T TERRACE EAST, SUITE 103, LAKEWOOD, FL, 34202
|
Signature of
Role |
Plan administrator |
Date |
2020-09-21 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-21 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
271135326
|
2019-10-09
|
O'BRIEN SMILES, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
8936 77T TERRACE EAST, SUITE 103, LAKEWOOD, FL, 34202
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
ALLISON OBRIEN DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-09 |
Name of individual signing |
ALLISON OBRIEN DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
271135326
|
2018-10-15
|
O'BRIEN SMILES, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
6975 PROFESSIONAL PARKWAY EAST, SUITE B, SARASOTA, FL, 34240
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
271135326
|
2017-07-12
|
O'BRIEN SMILES, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
6975 PROFESSIONAL PARKWAY EAST, SUITE B, SARASOTA, FL, 34240
|
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
271135326
|
2016-09-13
|
O'BRIEN SMILES, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
6975 PROFESSIONAL PARKWAY EAST, SUI, SARASOTA, FL, 34240
|
Signature of
Role |
Plan administrator |
Date |
2016-09-13 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-13 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O'BRIEN SMILES, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
271135326
|
2015-05-04
|
O'BRIEN SMILES, PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413733904
|
Plan sponsor’s
address |
6975 PROFESSIONAL PARKWAY EAST, SUI, SARASOTA, FL, 34240
|
Signature of
Role |
Plan administrator |
Date |
2015-04-26 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-26 |
Name of individual signing |
ALLISON OBRIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|