EAST BAY DENTAL, LLC 401(K) PLAN
|
2023
|
465644948
|
2024-06-24
|
EAST BAY DENTAL, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7279679152
|
Plan sponsor’s
address |
2672 SPYGLASS DRIVE, CLEARWATER, FL, 33761
|
Signature of
Role |
Plan administrator |
Date |
2024-06-24 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST BAY DENTAL, LLC 401(K) PLAN
|
2022
|
465644948
|
2023-06-01
|
EAST BAY DENTAL, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7275855675
|
Plan sponsor’s
address |
1601 EAST BAY DRIVE, SUITE 1, LARGO, FL, 33771
|
Signature of
Role |
Plan administrator |
Date |
2023-06-01 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-01 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST BAY DENTAL, LLC 401(K) PLAN
|
2021
|
465644948
|
2022-06-21
|
EAST BAY DENTAL, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7275855675
|
Plan sponsor’s
address |
1601 EAST BAY DRIVE, SUITE 1, LARGO, FL, 33771
|
Signature of
Role |
Plan administrator |
Date |
2022-06-21 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-21 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST BAY DENTAL, LLC 401(K) PLAN
|
2020
|
465644948
|
2021-06-14
|
EAST BAY DENTAL, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7275855675
|
Plan sponsor’s
address |
1601 EAST BAY DRIVE, SUITE 1, LARGO, FL, 33771
|
Signature of
Role |
Plan administrator |
Date |
2021-06-14 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-14 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST BAY DENTAL, LLC 401(K) PLAN
|
2019
|
465644948
|
2020-05-22
|
EAST BAY DENTAL, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7275855675
|
Plan sponsor’s
address |
1601 EAST BAY DRIVE, SUITE 1, LARGO, FL, 33771
|
Signature of
Role |
Plan administrator |
Date |
2020-05-22 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-22 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST BAY DENTAL, LLC 401(K) PLAN
|
2018
|
465644948
|
2019-06-21
|
EAST BAY DENTAL, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7275855675
|
Plan sponsor’s
address |
1601 EAST BAY DRIVE, SUITE 1, LARGO, FL, 33771
|
Signature of
Role |
Plan administrator |
Date |
2019-06-21 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-21 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST BAY DENTAL, LLC 401(K) PLAN
|
2017
|
465644948
|
2018-07-23
|
EAST BAY DENTAL, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7275855675
|
Plan sponsor’s
address |
1601 EAST BAY DRIVE, SUITE 1, LARGO, FL, 33771
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-23 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST BAY DENTAL, LLC 401(K) PLAN
|
2016
|
465644948
|
2017-07-25
|
EAST BAY DENTAL, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7275855675
|
Plan sponsor’s
address |
1601 EAST BAY DRIVE, SUITE 1, LARGO, FL, 33771
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-25 |
Name of individual signing |
LIEM LAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|