LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL. 401(K) SAVINGS PLAN
|
2023
|
800542370
|
2024-09-25
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
295 BERKLEY ROAD, AUBURNDALE, FL, 33823
|
Signature of
Role |
Plan administrator |
Date |
2024-09-25 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-25 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL CASH BALANCE PLAN
|
2023
|
800542370
|
2024-09-20
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
295 BERKLEY ROAD, AUBURNDALE, FL, 33823
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL CASH BALANCE PLAN
|
2022
|
800542370
|
2023-09-25
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
295 BERKLEY ROAD, AUBURNDALE, FL, 33823
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL. 401(K) SAVINGS PLAN
|
2022
|
800542370
|
2023-09-24
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
295 BERKLEY ROAD, AUBURNDALE, FL, 33823
|
Signature of
Role |
Plan administrator |
Date |
2023-09-24 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-24 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL CASH BALANCE PLAN
|
2021
|
800542370
|
2022-10-07
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
295 BERKLEY ROAD, AUBURNDALE, FL, 33823
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL. 401(K) SAVINGS PLAN
|
2021
|
800542370
|
2022-09-24
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
295 BERKLEY ROAD, AUBURNDALE, FL, 33823
|
Signature of
Role |
Plan administrator |
Date |
2022-09-24 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-24 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL CASH BALANCE PLAN
|
2020
|
800542370
|
2021-10-09
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
295 BERKLEY ROAD, AUBURNDALE, FL, 33823
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL. 401(K) SAVINGS PLAN
|
2020
|
800542370
|
2021-09-12
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
295 BERKLEY ROAD, AUBURNDALE, FL, 33823
|
Signature of
Role |
Plan administrator |
Date |
2021-09-12 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-12 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL CASH BALANCE PLAN
|
2019
|
800542370
|
2020-09-22
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
2016 US HIGHWAY 92 WEST, AUBURNDALE, FL, 33823
|
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL. 401(K) SAVINGS PLAN
|
2019
|
800542370
|
2020-09-02
|
LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY, PL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636629973
|
Plan sponsor’s
address |
2016 US HIGHWAY 92 WEST, AUBURNDALE, FL, 33823
|
Signature of
Role |
Plan administrator |
Date |
2020-09-02 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-02 |
Name of individual signing |
HENRY ACOSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|