KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN
|
2023
|
462934606
|
2024-08-15
|
KISSIMMEE FAMILY DENTISTRY PLLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078707404
|
Plan sponsor’s
address |
1111 PERSON STREET, KISSIMMEE, FL, 347414146
|
Signature of
Role |
Plan administrator |
Date |
2024-08-15 |
Name of individual signing |
HOLLY LANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
462934606
|
2023-04-24
|
KISSIMMEE FAMILY DENTISTRY PLLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078707404
|
Plan sponsor’s
address |
1111 PERSON STREET, KISSIMMEE, FL, 347414146
|
Signature of
Role |
Plan administrator |
Date |
2023-04-24 |
Name of individual signing |
HOLLY LANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
462934606
|
2023-02-06
|
KISSIMMEE FAMILY DENTISTRY PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078707404
|
Plan sponsor’s
address |
1111 PERSON STREET, KISSIMMEE, FL, 347414146
|
Signature of
Role |
Plan administrator |
Date |
2023-02-06 |
Name of individual signing |
HOLLY LANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN
|
2021
|
462934606
|
2022-03-29
|
KISSIMMEE FAMILY DENTISTRY PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078707404
|
Plan sponsor’s
address |
1111 PERSON STREET, KISSIMMEE, FL, 347414146
|
Signature of
Role |
Plan administrator |
Date |
2022-03-29 |
Name of individual signing |
HOLLY LANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISSIMMEE FAMILY DENTISTRY PLLC 401K PROFIT SHARING PLAN
|
2020
|
462934606
|
2022-03-29
|
KISSIMMEE FAMILY DENTISTRY
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078707404
|
Plan
sponsor’s DBA name |
KISSIMMEE FAMILY DENTISTRY
|
Plan sponsor’s
address |
1111 PERSON ST, KISSIMMEE, FL, 347414146
|
Signature of
Role |
Plan administrator |
Date |
2022-03-29 |
Name of individual signing |
HOLLY STREMPEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN
|
2020
|
462934606
|
2022-12-22
|
KISSIMMEE FAMILY DENTISTRY PLLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078707404
|
Plan sponsor’s
address |
1111 PERSON STREET, KISSIMMEE, FL, 347414146
|
Signature of
Role |
Plan administrator |
Date |
2022-12-22 |
Name of individual signing |
HOLLY LANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN
|
2018
|
462934606
|
2019-05-14
|
KISSIMMEE FAMILY DENTISTRY PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078707404
|
Plan sponsor’s
address |
1111 PERSON STREET, KISSIMMEE, FL, 347414146
|
Signature of
Role |
Plan administrator |
Date |
2019-05-14 |
Name of individual signing |
HOLLY STREMPEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-14 |
Name of individual signing |
HOLLY LANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN
|
2017
|
462934606
|
2018-08-17
|
KISSIMMEE FAMILY DENTISTRY PLLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078707404
|
Plan sponsor’s
address |
1111 PERSON STREET, KISSIMMEE, FL, 347414146
|
Signature of
Role |
Plan administrator |
Date |
2018-08-17 |
Name of individual signing |
PATRICK MOKRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-17 |
Name of individual signing |
PATRICK MOKRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|