|
AGOKA DENTAL PLLC 401(K) PLAN
|
2023
|
823782789
|
2024-10-03
|
AGOKA DENTAL PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8138799000
|
| Plan sponsor’s
address |
3306 WEST KENNEDY BOULEVARD, TAMPA, FL, 33609
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-03 |
| Name of individual signing |
MICHAEL VANDERFORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AGOKA DENTAL PLLC 401(K) PLAN
|
2022
|
823782789
|
2023-10-07
|
AGOKA DENTAL PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8138799000
|
| Plan sponsor’s
address |
3306 WEST KENNEDY BOULEVARD, TAMPA, FL, 33609
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-07 |
| Name of individual signing |
MICHAEL VANDERFORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AGOKA DENTAL PLLC 401(K) PLAN
|
2021
|
823782789
|
2022-08-11
|
AGOKA DENTAL PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8138799000
|
| Plan sponsor’s
address |
3306 WEST KENNEDY BOULEVARD, TAMPA, FL, 33609
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-11 |
| Name of individual signing |
NARESH KALRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AGOKA DENTAL PLLC 401(K) PLAN
|
2020
|
823782789
|
2021-09-15
|
AGOKA DENTAL PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8138799000
|
| Plan sponsor’s
address |
3306 WEST KENNEDY BOULEVARD, TAMPA, FL, 33609
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-15 |
| Name of individual signing |
NARESH KALRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AGOKA DENTAL PLLC 401(K) PLAN
|
2019
|
823782789
|
2020-09-14
|
AGOKA DENTAL PLLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8138799000
|
| Plan sponsor’s
address |
3306 WEST KENNEDY BOULEVARD, TAMPA, FL, 33609
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-14 |
| Name of individual signing |
NARESH KALRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
