|
OCALA ORAL SURGERY 401(K) PLAN
|
2023
|
814841918
|
2024-06-26
|
OCALA ORAL SURGERY, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527324427
|
| Plan sponsor’s
address |
212 SOUTH MAGNOLIA AVENUE, OCALA, FL, 34471
|
|
|
OCALA ORAL SURGERY 401K PLAN
|
2022
|
814841918
|
2023-06-02
|
OCALA ORAL SURGERY, PLLC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527324427
|
| Plan sponsor’s
address |
212 SOUTH MAGNOLIA AVENUE, OCALA, FL, 34471
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-02 |
| Name of individual signing |
JOHN ANSAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OCALA ORAL SURGERY 401K PLAN
|
2021
|
814841918
|
2022-09-23
|
OCALA ORAL SURGERY, PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527324427
|
| Plan sponsor’s
address |
212 SOUTH MAGNOLIA AVENUE, OCALA, FL, 34471
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-23 |
| Name of individual signing |
JOHN ANSAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OCALA ORAL SURGERY 401K PLAN
|
2020
|
814841918
|
2021-10-05
|
OCALA ORAL SURGERY, PLLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527324427
|
| Plan sponsor’s
address |
212 SOUTH MAGNOLIA AVENUE, OCALA, FL, 34471
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-05 |
| Name of individual signing |
JOHN ANSAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OCALA ORAL SURGERY 401K PLAN
|
2019
|
814841918
|
2020-08-24
|
OCALA ORAL SURGERY, PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527324427
|
| Plan sponsor’s
address |
1120 SE 18TH PLACE, OCALA, FL, 34471
|
Plan administrator’s name and address
| Administrator’s EIN |
721386027 |
| Plan administrator’s name |
PLANTECH, LLP |
| Plan administrator’s
address |
2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242 |
| Administrator’s telephone number |
2059801603 |
Signature of
| Role |
Plan administrator |
| Date |
2020-08-24 |
| Name of individual signing |
KATHY BITTLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OCALA ORAL SURGERY 401K PLAN
|
2018
|
814841918
|
2019-10-13
|
OCALA ORAL SURGERY, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527324427
|
| Plan sponsor’s
address |
1120 SE 18TH PLACE, OCALA, FL, 34471
|
Plan administrator’s name and address
| Administrator’s EIN |
721386027 |
| Plan administrator’s name |
PLANTECH, LLP |
| Plan administrator’s
address |
2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242 |
| Administrator’s telephone number |
2059801603 |
Signature of
| Role |
Plan administrator |
| Date |
2019-10-13 |
| Name of individual signing |
KATHY BITTLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
