DEBORAH BARCKHAUSEN DMD MS PLLC 401K
|
2023
|
273099687
|
2024-06-28
|
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3524271640
|
Plan sponsor’s
address |
7668 SW 60TH AVE STE 300, OCALA, FL, 34476
|
Signature of
Role |
Plan administrator |
Date |
2024-06-28 |
Name of individual signing |
DEBORAH BARCKHAUSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEBORAH BARCKHAUSEN DMD MS PLLC 401K
|
2023
|
273099687
|
2024-11-25
|
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3524271640
|
Plan sponsor’s
address |
7668 SW 60TH AVE STE 300, OCALA, FL, 34476
|
Signature of
Role |
Plan administrator |
Date |
2024-11-25 |
Name of individual signing |
DEBORAH BARCKHAUSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 401(K) P/S PLAN
|
2022
|
273099687
|
2023-05-17
|
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3524271640
|
Plan sponsor’s
address |
7668 SW 60TH AVE STE 300, OCALA, FL, 34476
|
Plan administrator’s name and address
Administrator’s EIN |
273099687 |
Plan administrator’s name |
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC |
Plan administrator’s
address |
7668 SW 60TH AVE STE 300, OCALA, FL, 34476 |
Administrator’s telephone number |
3524271640 |
Signature of
Role |
Plan administrator |
Date |
2023-05-17 |
Name of individual signing |
DEBORAH BARCKHAUSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 401(K) P/S PLAN
|
2021
|
273099687
|
2022-06-05
|
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3524271640
|
Plan sponsor’s
address |
7668 SW 60TH AVE STE 300, OCALA, FL, 34476
|
Plan administrator’s name and address
Administrator’s EIN |
273099687 |
Plan administrator’s name |
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC |
Plan administrator’s
address |
7668 SW 60TH AVE STE 300, OCALA, FL, 34476 |
Administrator’s telephone number |
3524271640 |
Signature of
Role |
Plan administrator |
Date |
2022-06-05 |
Name of individual signing |
DEBORAH BARCKHAUSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 401(K) P/S PLAN
|
2020
|
273099687
|
2021-05-24
|
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3524271640
|
Plan sponsor’s
address |
7668 SW 60TH AVE STE 300, OCALA, FL, 34476
|
Plan administrator’s name and address
Administrator’s EIN |
273099687 |
Plan administrator’s name |
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC |
Plan administrator’s
address |
7668 SW 60TH AVE STE 300, OCALA, FL, 34476 |
Administrator’s telephone number |
3524271640 |
Signature of
Role |
Plan administrator |
Date |
2021-05-24 |
Name of individual signing |
DEBORAH BARCKHAUSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|