|
BROE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
824814044
|
2024-09-06
|
BROE FAMILY DENTAL, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9049038851
|
| Plan sponsor’s
address |
100 MARKETSIDE AVE., STE. 30, PONTE VEDRA BEACH, FL, 32081
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-06 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BROE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
824814044
|
2023-09-13
|
BROE FAMILY DENTAL, LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9049038851
|
| Plan sponsor’s
address |
100 MARKETSIDE AVE., STE. 30, PONTE VEDRA BEACH, FL, 32081
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-13 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BROE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
824814044
|
2022-07-01
|
BROE FAMILY DENTAL, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9049038851
|
| Plan sponsor’s
address |
100 MARKETSIDE AVE., STE. 30, PONTE VEDRA BEACH, FL, 32081
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-01 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BROE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
824814044
|
2021-07-10
|
BROE FAMILY DENTAL, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9048105702
|
| Plan sponsor’s
address |
100 MARKETSIDE AVE., STE. 30, PONTE VEDRA BEACH, FL, 32081
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-10 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BROE FAMILY DENTAL LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
824814044
|
2020-11-04
|
BROE FAMILY DENTAL LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9048105702
|
| Plan sponsor’s
address |
100 MARKETSIDE AVENUE SUITE 306, PONTE VEDRA BEACH, FL, 32081
|
Signature of
| Role |
Plan administrator |
| Date |
2020-11-04 |
| Name of individual signing |
AMY RICHARDSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BROE FAMILY DENTAL LLC
|
2018
|
824814044
|
2019-10-16
|
BROE FAMILY DENTAL LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9048105702
|
| Plan sponsor’s
address |
100 MARKETSIDE AVE STE 306, PONTE VEDRA, FL, 32081
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-16 |
| Name of individual signing |
AMY RICHARDSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
