|
ADVANCED ORAL SURGERY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
272801634
|
2024-06-25
|
ADVANCED ORAL SURGERY LLC
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8133621928
|
| Plan sponsor’s
address |
3013 W CHAPIN AVENUE, TAMPA, FL, 33611
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-25 |
| Name of individual signing |
JASON EDWARDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADVANCED ORAL SURGERY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
272801634
|
2023-05-01
|
ADVANCED ORAL SURGERY LLC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8133621928
|
| Plan sponsor’s
address |
449 S 12TH ST - UNIT 1201, TAMPA, FL, 33602
|
Signature of
| Role |
Plan administrator |
| Date |
2023-05-01 |
| Name of individual signing |
JASON EDWARDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADVANCED ORAL SURGERY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
272801634
|
2022-08-01
|
ADVANCED ORAL SURGERY LLC
|
13
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8133621928
|
| Plan sponsor’s
address |
3013 W CHAPIN AVENUE, TAMPA, FL, 33611
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-01 |
| Name of individual signing |
JASON EDWARDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADVANCED ORAL SURGERY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
272801634
|
2022-08-05
|
ADVANCED ORAL SURGERY LLC
|
13
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8133621928
|
| Plan sponsor’s
address |
3013 W CHAPIN AVENUE, TAMPA, FL, 33611
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-05 |
| Name of individual signing |
JASON EDWARDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADVANCED ORAL SURGERY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
272801634
|
2022-08-05
|
ADVANCED ORAL SURGERY LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8133621928
|
| Plan sponsor’s
address |
3013 W CHAPIN AVENUE, TAMPA, FL, 33611
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-05 |
| Name of individual signing |
JASON EDWARDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADVANCED ORAL SURGERY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
272801634
|
2022-08-04
|
ADVANCED ORAL SURGERY LLC
|
13
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8133621928
|
| Plan sponsor’s
address |
3013 W CHAPIN AVENUE, TAMPA, FL, 33611
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-04 |
| Name of individual signing |
JASON EDWARDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
