JOANNE C GREEN D D S P L 401 K PROFIT SHARING PLAN TRUST
|
2012
|
650908087
|
2013-07-30
|
JOANNE C GREEN D D S P L
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5616222815
|
Plan sponsor’s
address |
10887 N MILITARY TRL STE 6, WEST PALM BEACH, FL, 334106528
|
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
JOANNE C GREEN D D S P L |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOANNE C GREEN D D S P L 401 K PROFIT SHARING PLAN TRUST
|
2011
|
650908087
|
2012-07-20
|
JOANNE C GREEN D D S P L
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5616222815
|
Plan sponsor’s
address |
10887 N MILITARY TRL STE 6, WEST PALM BEACH, FL, 334106528
|
Plan administrator’s name and address
Administrator’s EIN |
650908087 |
Plan administrator’s name |
JOANNE C GREEN D D S P L |
Plan administrator’s
address |
10887 N MILITARY TRL STE 6, WEST PALM BEACH, FL, 334106528 |
Administrator’s telephone number |
5616222815 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
JOANNE C GREEN D D S P L |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOANNE C GREEN D D S P L 401 K PROFIT SHARING PLAN TRUST
|
2010
|
650908087
|
2011-07-15
|
JOANNE C GREEN D D S P L
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5616222815
|
Plan sponsor’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528
|
Plan administrator’s name and address
Administrator’s EIN |
650908087 |
Plan administrator’s name |
JOANNE C GREEN D D S P L |
Plan administrator’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528 |
Administrator’s telephone number |
5616222815 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
JOANNE C GREEN D D S P L |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOANNE C GREEN D D S P L 401 K PROFIT SHARING PLAN TRUST
|
2010
|
650908087
|
2011-07-11
|
JOANNE C GREEN D D S P L
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5616222815
|
Plan sponsor’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528
|
Plan administrator’s name and address
Administrator’s EIN |
650908087 |
Plan administrator’s name |
JOANNE C GREEN D D S P L |
Plan administrator’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528 |
Administrator’s telephone number |
5616222815 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
JOANNE C GREEN D D S P L |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JOANNE C GREEN D D S P L
|
2009
|
650908087
|
2010-07-28
|
JOANNE C GREEN D D S P L
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5616222815
|
Plan sponsor’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528
|
Plan administrator’s name and address
Administrator’s EIN |
650908087 |
Plan administrator’s name |
JOANNE C GREEN D D S P L |
Plan administrator’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528 |
Administrator’s telephone number |
5616222815 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JOANNE C GREEN D D S P L |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JOANNE C GREEN D D S P L
|
2009
|
650908087
|
2010-07-28
|
JOANNE C GREEN D D S P L
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5616222815
|
Plan sponsor’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528
|
Plan administrator’s name and address
Administrator’s EIN |
650908087 |
Plan administrator’s name |
JOANNE C GREEN D D S P L |
Plan administrator’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528 |
Administrator’s telephone number |
5616222815 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JOANNE C GREEN D D S P L |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JOANNE C GREEN D D S P L
|
2009
|
650908087
|
2010-07-28
|
JOANNE C GREEN D D S P L
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5616222815
|
Plan sponsor’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528
|
Plan administrator’s name and address
Administrator’s EIN |
650908087 |
Plan administrator’s name |
JOANNE C GREEN D D S P L |
Plan administrator’s
address |
10887 N MILITARY TRL STE 6, PALM BEACH GARDENS, FL, 334106528 |
Administrator’s telephone number |
5616222815 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JOANNE C GREEN D D S P L |
Valid signature |
Filed with authorized/valid electronic signature |
|
|