SUTTON FARNHAM, D.D.S. PROFIT SHARING PLAN
|
2016
|
593680893
|
2017-07-17
|
FARNHAM & FARNHAM, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
JACQUELENE FARNHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUTTON FARNHAM, D.D.S. PROFIT SHARING PLAN
|
2016
|
593680893
|
2017-06-15
|
FARNHAM & FARNHAM, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32223
|
Signature of
Role |
Plan administrator |
Date |
2017-06-15 |
Name of individual signing |
JACQUELENE FARNHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUTTON FARNHAM, D.D.S. PROFIT SHARING PLAN
|
2015
|
593680893
|
2016-07-12
|
FARNHAM & FARNHAM, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
JACQUELENE FARNHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUTTON FARNHAM, D.D.S. PROFIT SHARING PLAN
|
2014
|
593680893
|
2015-10-03
|
FARNHAM & FARNHAM, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223
|
Signature of
Role |
Plan administrator |
Date |
2015-10-03 |
Name of individual signing |
JACQUELENE FARNHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUTTON FARNHAM, D.D.S. PROFIT SHARING PLAN
|
2013
|
593680893
|
2014-07-09
|
FARNHAM & FARNHAM, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223
|
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
JACQUELENE FARNHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUTTON FARNHAM, D.D.S. PROFIT SHARING PLAN
|
2012
|
593680893
|
2013-07-09
|
FARNHAM & FARNHAM, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223
|
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
SUTTON FARNHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUTTON FARNHAM DDS PROFIT SHARING PLAN
|
2011
|
593680893
|
2012-07-12
|
FARNHAM & FARNHAM, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223
|
Plan administrator’s name and address
Administrator’s EIN |
593680893 |
Plan administrator’s name |
FARNHAM & FARNHAM, P.A. |
Plan administrator’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223 |
Administrator’s telephone number |
9042622551 |
Signature of
Role |
Plan administrator |
Date |
2012-07-12 |
Name of individual signing |
SUTTON FARNHAM, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUTTON FARNHAM DDS PROFIT SHARING PLAN
|
2010
|
593680893
|
2011-07-28
|
FARNHAM & FARNHAM, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223
|
Plan administrator’s name and address
Administrator’s EIN |
593680893 |
Plan administrator’s name |
FARNHAM & FARNHAM, P.A. |
Plan administrator’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223 |
Administrator’s telephone number |
9042622551 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
SUTTON FARNHAM, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUTTON FARNHAM DDS PROFIT SHARING PLAN
|
2009
|
593680893
|
2010-07-21
|
FARNHAM & FARNHAM, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042622551
|
Plan sponsor’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223
|
Plan administrator’s name and address
Administrator’s EIN |
593680893 |
Plan administrator’s name |
FARNHAM & FARNHAM, P.A. |
Plan administrator’s
address |
11528 SAN JOSE BLVD., JACKSONVILLE, FL, 32223 |
Administrator’s telephone number |
9042622551 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
SUTTON FARNHAM, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-21 |
Name of individual signing |
SUTTON FARNHAM, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|