ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2022
|
272845477
|
2023-12-12
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
5115 FLORIDA AVE S, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2023-12-12 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2022
|
272845477
|
2023-04-19
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
5115 FLORIDA AVE S, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2023-04-19 |
Name of individual signing |
CHRISTOPHER MCGARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2021
|
272845477
|
2022-09-15
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
5115 FLORIDA AVE S, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2022-09-15 |
Name of individual signing |
CHRISTOPHER MCGARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2020
|
272845477
|
2021-10-06
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
5115 S FLORIDA AVE, STE 101, LAKELAND, FL, 33803
|
Signature of
Role |
Plan administrator |
Date |
2021-10-06 |
Name of individual signing |
CHRISTOPHER MCGARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2019
|
272845477
|
2020-08-21
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
5115 S FLORIDA AVE, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2020-08-21 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2018
|
272845477
|
2019-10-09
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
5115 S FLORIDA AVE, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2017
|
272845477
|
2018-10-10
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
5115 S FLORIDA AVE, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-10 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2016
|
272845477
|
2017-10-02
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
5115 S FLORIDA AVE, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2017-10-02 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-02 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2014
|
272845477
|
2015-09-30
|
ADVANCED ENDODONTIC SPECIALISTS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
3003 S. FLORIDA AVE, SUITE 101, LAKELAND, FL, 33803
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-30 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ENDODONTIC SPEC. 401(K) PLAN
|
2013
|
272845477
|
2014-10-01
|
ADVANCED ENDODONTIC SPECIALISTS,LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636878990
|
Plan sponsor’s
address |
3003 S. FLORIDA AVE, SUITE 101, LAKELAND, FL, 33803
|
Signature of
Role |
Plan administrator |
Date |
2014-10-01 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-01 |
Name of individual signing |
HAIDER ALZUBAIDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|