RANDALL W. BROWN, D.M.D., P.A. 401(K) PLAN
|
2017
|
593028484
|
2018-07-10
|
RANDALL W. BROWN, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509342820
|
Plan sponsor’s
address |
721 PENSACOLA BEACH BLVD., UNIT 1901, GULF BREEZE, FL, 325616811
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
RANDALL W. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL W. BROWN, D.M.D., P.A. 401(K) PLAN
|
2016
|
593028484
|
2017-10-02
|
RANDALL W. BROWN, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509342820
|
Plan sponsor’s
address |
41 FAIRPOINT DRIVE, SUITE A, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2017-10-02 |
Name of individual signing |
RANDALL W. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL W. BROWN, D.M.D., P.A. 401(K) PLAN
|
2015
|
593028484
|
2016-09-19
|
RANDALL W. BROWN, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509342820
|
Plan sponsor’s
address |
41 FAIRPOINT DRIVE, SUITE A, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2016-09-19 |
Name of individual signing |
RANDALL W. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL W. BROWN, D.M.D., P.A. 401(K) PLAN
|
2014
|
593028484
|
2015-09-21
|
RANDALL W. BROWN, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509342820
|
Plan sponsor’s
address |
41 FAIRPOINT DRIVE, SUITE A, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2015-09-21 |
Name of individual signing |
RANDALL W. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL W. BROWN, D.M.D., P.A. 401(K) PLAN
|
2013
|
593028484
|
2014-10-13
|
RANDALL W. BROWN, D.M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509342820
|
Plan sponsor’s
address |
41 FAIRPOINT DRIVE, SUITE A, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
RANDALL W. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|