DAVID GIL BLOOM, DMD PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
814899766
|
2024-07-15
|
DAVID GIL BLOOM, DMD PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6175848553
|
Plan sponsor’s
address |
7435 AVENIDA DEL MAR#2803, BOCA RATON, FL, 33433
|
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
DAVID BLOOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID GIL BLOOM, DMD PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
814899766
|
2023-05-31
|
DAVID GIL BLOOM, DMD PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6175848553
|
Plan sponsor’s
address |
7435 AVENIDA DEL MAR#2803, BOCA RATON, FL, 33433
|
Signature of
Role |
Plan administrator |
Date |
2023-05-31 |
Name of individual signing |
DAVID BLOOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID GIL BLOOM, DMD PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
814899766
|
2022-10-08
|
DAVID GIL BLOOM, DMD PLLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6175848553
|
Plan sponsor’s
address |
7435 AVENIDA DEL MAR#2805, BOCA RATON, FL, 33433
|
Signature of
Role |
Plan administrator |
Date |
2022-10-08 |
Name of individual signing |
DAVID BLOOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID GIL BLOOM, DMD PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
814899766
|
2022-12-13
|
DAVID GIL BLOOM, DMD PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6175848553
|
Plan sponsor’s
address |
7435 AVENIDA DEL MAR#2803, BOCA RATON, FL, 33433
|
Signature of
Role |
Plan administrator |
Date |
2022-12-13 |
Name of individual signing |
DAVID BLOOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID GIL BLOOM, DMD PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
814899766
|
2022-10-08
|
DAVID GIL BLOOM, DMD PLLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6175848553
|
Plan sponsor’s
address |
7435 AVENIDA DEL MAR#2805, BOCA RATON, FL, 33433
|
Signature of
Role |
Plan administrator |
Date |
2022-10-08 |
Name of individual signing |
DAVID BLOOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID GIL BLOOM, DMD PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
814899766
|
2023-01-05
|
DAVID GIL BLOOM, DMD PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6175848553
|
Plan sponsor’s
address |
7435 AVENIDA DEL MAR#2803, TEST, BOCA RATON, FL, 33433
|
Signature of
Role |
Plan administrator |
Date |
2023-01-05 |
Name of individual signing |
DAVID BLOOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|