|
PALMS DENTAL CARE 401(K)
|
2021
|
463506893
|
2022-06-15
|
PALMS DENTAL CARE
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-30
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618011044
|
| Plan sponsor’s
address |
8918 LANTANA RD B, LAKE WORTH, FL, 33467
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-15 |
| Name of individual signing |
LINA HENAO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALMS DENTAL CARE 401(K)
|
2020
|
463506893
|
2021-07-01
|
PALMS DENTAL CARE
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-30
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618011044
|
| Plan sponsor’s
address |
8918 LANTANA RD B, LAKE WORTH, FL, 33467
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-01 |
| Name of individual signing |
KYLE KROMREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALMS DENTAL CARE 401(K)
|
2019
|
463506893
|
2020-10-19
|
PALMS DENTAL CARE
|
8
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-30
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618011044
|
| Plan sponsor’s
address |
8918 LANTANA RD B, LAKE WORTH, FL, 33467
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-19 |
| Name of individual signing |
LINA HENAO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALMS DENTAL CARE 401(K)
|
2019
|
463506893
|
2020-10-21
|
PALMS DENTAL CARE
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-30
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618011044
|
| Plan sponsor’s
address |
8918 LANTANA RD B, LAKE WORTH, FL, 33467
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-21 |
| Name of individual signing |
LINA HENAO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALMS DENTAL CARE 401(K)
|
2018
|
463506893
|
2019-04-04
|
PALMS DENTAL CARE
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-30
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618011044
|
| Plan sponsor’s
address |
8918 LANTANA ROAD, SUITE B, LAKE WORTH, FL, 33467
|
Signature of
| Role |
Plan administrator |
| Date |
2019-04-04 |
| Name of individual signing |
KYLE KROMREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALMS DENTAL CARE 401(K)
|
2017
|
463506893
|
2018-07-09
|
PALMS DENTAL CARE
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-30
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618011044
|
| Plan sponsor’s
address |
8918 LANTANA ROAD, SUITE B, LAKE WORTH, FL, 33467
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-09 |
| Name of individual signing |
KYLE KROMREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALMS DENTAL CARE 401(K)
|
2016
|
463506893
|
2017-06-27
|
PALMS DENTAL CARE
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-30
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618011044
|
| Plan sponsor’s
address |
8918 LANTANA ROAD, SUITE B, LAKE WORTH, FL, 33467
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-27 |
| Name of individual signing |
KYLE KROMREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALMS DENTAL CARE 401(K)
|
2015
|
463506893
|
2016-07-28
|
PALMS DENTAL CARE
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-30
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618011044
|
| Plan sponsor’s
address |
8918 LANTANA ROAD, SUITE B, LAKE WORTH, FL, 33467
|
|
