CAPE SIDE DENTAL PA 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
593694205
|
2024-08-09
|
CAPE SIDE DENTAL, PA
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214467209
|
Plan sponsor’s
address |
3265 BAYSIDE LAKES BLVD. SE, PALM BAY, FL, 32909
|
Signature of
Role |
Plan administrator |
Date |
2024-08-09 |
Name of individual signing |
SHIRLEY HORNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPE SIDE DENTAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
593694205
|
2023-05-31
|
CAPE SIDE DENTAL PA
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214467209
|
Plan sponsor’s
address |
3265 BAYSIDE LAKES BLVD, PALM BAY, FL, 32909
|
Signature of
Role |
Plan administrator |
Date |
2023-05-31 |
Name of individual signing |
JULIE ARTLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPE SIDE DENTAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
593694205
|
2022-06-06
|
CAPE SIDE DENTAL PA
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214467209
|
Plan sponsor’s
address |
3265 BAYSIDE LAKES BLVD, PALM BAY, FL, 32909
|
Signature of
Role |
Plan administrator |
Date |
2022-06-06 |
Name of individual signing |
JULIE ARTLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPE SIDE DENTAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
593694205
|
2022-06-07
|
CAPE SIDE DENTAL PA
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214467209
|
Plan sponsor’s
address |
3265 BAYSIDE LAKES BLVD, PALM BAY, FL, 32909
|
Signature of
Role |
Plan administrator |
Date |
2022-06-07 |
Name of individual signing |
JULIE ARTLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPE SIDE DENTAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
593694205
|
2022-06-07
|
CAPE SIDE DENTAL PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214467209
|
Plan sponsor’s
address |
3265 BAYSIDE LAKES BLVD, PALM BAY, FL, 32909
|
Signature of
Role |
Plan administrator |
Date |
2022-06-07 |
Name of individual signing |
JULIE ARTLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPE SIDE DENTAL PA 401 K PROFIT SHARING PLAN TRUST
|
2017
|
593694205
|
2018-07-24
|
CAPE SIDE DENTAL PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3217270011
|
Plan sponsor’s
address |
3265 BAYSIDE LAKES BLVD, PALM BAY, FL, 32909
|
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
JULIE ARTLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPE SIDE DENTAL PA 401 K PROFIT SHARING PLAN TRUST
|
2016
|
593694205
|
2017-07-19
|
CAPE SIDE DENTAL PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3217270011
|
Plan sponsor’s
address |
3265 BAYSIDE LAKES BLVD, PALM BAY, FL, 32909
|
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
JULIE ARTLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|