DAVID A. SIMONSON, D. P. M, P. A. 401(K) PLAN
|
2016
|
593695681
|
2017-12-18
|
DAVID A. SIMONSON, D.P.M, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD., SUITE 107, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2017-12-18 |
Name of individual signing |
DAVID A. SIMONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIMONSON, D.P.M, P.A. 401(K) PLAN
|
2016
|
593695681
|
2017-03-09
|
DAVID A. SIMONSON, D.P.M, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD., SUITE 107, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2017-03-09 |
Name of individual signing |
DAVID A. SIMONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIMONSON, D.P.M, P.A. 401(K) PLAN
|
2015
|
593695681
|
2016-07-28
|
DAVID A. SIMONSON, D.P.M, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD., SUITE 107, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
DAVID A. SIMONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIMONSON, D.P.M, P.A. CASH BALANCE PLAN
|
2014
|
593695681
|
2015-12-01
|
DAVID A. SIMONSON, D.P.M, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD, SUITE 107, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2015-12-01 |
Name of individual signing |
DAVID SIMONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIMONSON, D.P.M, P.A. CASH BALANCE PLAN
|
2014
|
593695681
|
2015-06-29
|
DAVID A. SIMONSON, D.P.M, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD, SUITE 107, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
DAVID SIMONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIMONSON, D.P.M, P.A. 401(K) PLAN
|
2014
|
593695681
|
2015-06-23
|
DAVID A. SIMONSON, D.P.M, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD., SUITE 107, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2015-06-23 |
Name of individual signing |
DAVID A. SIMONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIMONSON, D.P.M, P.A. 401(K) PLAN
|
2014
|
593695681
|
2015-06-23
|
DAVID A. SIMONSON, D.P.M, P.A.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD., SUITE 107, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2015-06-23 |
Name of individual signing |
DAVID A. SIMONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIMONSON, D.P.M, P.A. 401(K) PLAN
|
2013
|
593695681
|
2014-10-15
|
DAVID A. SIMONSON, D.P.M, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD., SUITE 107, ROCKLEDGE, FL, 32955
|
|
DAVID A. SIMONSON, D.P.M, P.A. CASH BALANCE PLAN
|
2013
|
593695681
|
2014-10-02
|
DAVID A. SIMONSON, D.P.M, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
3216382121
|
Plan sponsor’s
address |
1950 ROCKLEDGE BLVD, SUITE 107, ROCKLEDGE, FL, 32955
|
|