|
LEFT COAST DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
831855238
|
2024-06-30
|
LEFT COAST DENTAL PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9418281698
|
| Plan sponsor’s
address |
13435 S MCCALL ROAD STE C17, PORT CHARLOTTE, FL, 33981
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-30 |
| Name of individual signing |
TERI LAWREY-HOOKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEFT COAST DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
831855238
|
2023-07-12
|
LEFT COAST DENTAL PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9418281698
|
| Plan sponsor’s
address |
13435 S MCCALL ROAD STE C17, PORT CHARLOTTE, FL, 33981
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-12 |
| Name of individual signing |
TERI LAWREY-HOOKER, CPA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEFT COAST DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
831855238
|
2022-07-05
|
LEFT COAST DENTAL PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9418281698
|
| Plan sponsor’s
address |
13435 S MCCALL ROAD STE C17, PORT CHARLOTTE, FL, 33981
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-05 |
| Name of individual signing |
TERI A LAWREY-HOOKER CPA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEFT COAST DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
831855238
|
2021-09-21
|
LEFT COAST DENTAL PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9418281698
|
| Plan sponsor’s
address |
13435 S MCCALL ROAD STE C17, PORT CHARLOTTE, FL, 33981
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-21 |
| Name of individual signing |
TERI LAWREY-HOOKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
