LAKELAND DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
650140094
|
2014-10-15
|
LAKELAND DERMATOLOGY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636472333
|
Plan sponsor’s
address |
202 LAKE MIRIAM DRIVE, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DAVID MURRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
650140094
|
2014-10-15
|
LAKELAND DERMATOLOGY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636472333
|
Plan sponsor’s
address |
202 LAKE MIRIAM DRIVE, LAKELAND, FL, 33813
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DAVID MURRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND DERMATOLOGY, INC. 401K PROFIT SHARING PLAN
|
2012
|
650140094
|
2013-10-10
|
LAKELAND DERMATOLOGY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636472333
|
Plan sponsor’s
address |
202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188
|
Plan administrator’s name and address
Administrator’s EIN |
650140094 |
Plan administrator’s name |
LAKELAND DERMATOLOGY, INC. |
Plan administrator’s
address |
202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188 |
Administrator’s telephone number |
8636472333 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
DAVID MURRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND DERMATOLOGY, INC. 401K PROFIT SHARING PLAN
|
2011
|
650140094
|
2012-10-04
|
LAKELAND DERMATOLOGY, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636472333
|
Plan sponsor’s
address |
202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188
|
Plan administrator’s name and address
Administrator’s EIN |
650140094 |
Plan administrator’s name |
LAKELAND DERMATOLOGY, INC. |
Plan administrator’s
address |
202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188 |
Administrator’s telephone number |
8636472333 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
DAVID MURRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND DERMATOLOGY, INC. 401K PROFIT SHARING PLAN
|
2010
|
650140094
|
2011-10-10
|
LAKELAND DERMATOLOGY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636472333
|
Plan sponsor’s
address |
202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188
|
Plan administrator’s name and address
Administrator’s EIN |
650140094 |
Plan administrator’s name |
LAKELAND DERMATOLOGY, INC. |
Plan administrator’s
address |
202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188 |
Administrator’s telephone number |
8636472333 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
DAVID MURRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND DERMATOLOGY, INC. 401K PROFIT SHARING PLAN
|
2009
|
650140094
|
2010-07-26
|
LAKELAND DERMATOLOGY, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636472333
|
Plan sponsor’s
address |
202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188
|
Plan administrator’s name and address
Administrator’s EIN |
650140094 |
Plan administrator’s name |
LAKELAND DERMATOLOGY, INC. |
Plan administrator’s
address |
202 LAKE MIRIAM DRIVE S-1, LAKELAND, FL, 338132188 |
Administrator’s telephone number |
8636472333 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
DAVID MURRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|