FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2018
|
592995285
|
2019-09-30
|
A. DOUGLAS SMILEY, D. M. D. , P. A.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2017
|
592995285
|
2018-10-15
|
A. DOUGLAS SMILEY, D. M. D. , P. A.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2016
|
592995285
|
2018-01-26
|
A. DOUGLAS SMILEY, D. M. D. , P. A.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Signature of
Role |
Plan administrator |
Date |
2018-01-26 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-26 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2015
|
592995285
|
2016-09-20
|
A. DOUGLAS SMILEY, D. M. D. , P. A.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Signature of
Role |
Plan administrator |
Date |
2016-09-20 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2014
|
592995285
|
2015-08-19
|
A. DOUGLAS SMILEY, D. M. D. , P. A.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Signature of
Role |
Plan administrator |
Date |
2015-08-19 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2013
|
592995285
|
2014-05-27
|
A. DOUGLAS SMILEY, D.M.D., P.A.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2012
|
592995285
|
2013-05-28
|
A. DOUGLAS SMILEY, D.M.D., P.A.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2011
|
592995285
|
2012-07-16
|
A. DOUGLAS SMILEY, D.M.D., P.A.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Plan administrator’s name and address
Administrator’s EIN |
592995285 |
Plan administrator’s name |
A. DOUGLAS SMILEY, D.M.D., P.A. |
Plan administrator’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211 |
Administrator’s telephone number |
8138856969 |
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2010
|
592995285
|
2011-07-07
|
A. DOUGLAS SMILEY, D.M.D., P.A.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Plan administrator’s name and address
Administrator’s EIN |
592995285 |
Plan administrator’s name |
A. DOUGLAS SMILEY, D.M.D., P.A. |
Plan administrator’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211 |
Administrator’s telephone number |
8138856969 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRIENDLY SMILES DENTAL CARE PROFIT SHARING PLAN AND TRUST
|
2009
|
592995285
|
2010-08-23
|
A. DOUGLAS SMILEY, D.M.D., P.A.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8138856969
|
Plan sponsor’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211
|
Plan administrator’s name and address
Administrator’s EIN |
592995285 |
Plan administrator’s name |
A. DOUGLAS SMILEY, D.M.D., P.A. |
Plan administrator’s
address |
6707 WEST WATERS AVENUE, TAMPA, FL, 336342211 |
Administrator’s telephone number |
8138856969 |
Signature of
Role |
Plan administrator |
Date |
2010-08-23 |
Name of individual signing |
A. DOUGLAS SMILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|