ROBERT S. GOLDIE, D.M.D., P.A. PROFIT SHARING PLAN
|
2014
|
593727331
|
2015-10-23
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073634800
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819
|
Signature of
Role |
Plan administrator |
Date |
2015-10-23 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT S. GOLDIE, D.M.D., P.A. PROFIT SHARING PLAN
|
2014
|
593727331
|
2015-03-11
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073634800
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819
|
Plan administrator’s name and address
Administrator’s EIN |
593727331 |
Plan administrator’s name |
ROBERT S. GOLDIE, D.M.D., P.A. |
Plan administrator’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819 |
Administrator’s telephone number |
4073634800 |
Signature of
Role |
Plan administrator |
Date |
2015-03-11 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT S. GOLDIE, D.M.D., P.A. PROFIT SHARING PLAN
|
2013
|
593727331
|
2014-04-16
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073634800
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819
|
Plan administrator’s name and address
Administrator’s EIN |
593727331 |
Plan administrator’s name |
ROBERT S. GOLDIE, D.M.D., P.A. |
Plan administrator’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819 |
Administrator’s telephone number |
4073634800 |
Signature of
Role |
Plan administrator |
Date |
2014-04-16 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT S. GOLDIE, D.M.D., P.A. PROFIT SHARING PLAN
|
2012
|
593727331
|
2013-07-16
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073634800
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819
|
Plan administrator’s name and address
Administrator’s EIN |
593727331 |
Plan administrator’s name |
ROBERT S. GOLDIE, D.M.D., P.A. |
Plan administrator’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819 |
Administrator’s telephone number |
4073634800 |
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT S. GOLDIE, D.M.D., P.A. PROFIT SHARING PLAN
|
2011
|
593727331
|
2012-05-25
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819
|
Plan administrator’s name and address
Administrator’s EIN |
593727331 |
Plan administrator’s name |
ROBERT S. GOLDIE, D.M.D., P.A. |
Plan administrator’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819 |
Administrator’s telephone number |
4073634800 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT S. GOLDIE, D.M.D., P.A. DEFINED BENEFIT PENSION PLAN & TRUST
|
2011
|
593727331
|
2012-06-07
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073634800
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819
|
Plan administrator’s name and address
Administrator’s EIN |
593727331 |
Plan administrator’s name |
ROBERT S. GOLDIE, D.M.D., P.A. |
Plan administrator’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819 |
Administrator’s telephone number |
4073634800 |
Signature of
Role |
Plan administrator |
Date |
2012-06-07 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT S. GOLDIE, D.M.D., P.A. PROFIT SHARING PLAN
|
2010
|
593727331
|
2011-08-30
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073634800
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819
|
Plan administrator’s name and address
Administrator’s EIN |
593727331 |
Plan administrator’s name |
ROBERT S. GOLDIE, D.M.D., P.A. |
Plan administrator’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819 |
Administrator’s telephone number |
4073634800 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-30 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT S. GOLDIE, D.M.D., P.A. DEFINED BENEFIT PENSION PLAN & TRUST
|
2010
|
593727331
|
2011-08-30
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073634800
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819
|
Plan administrator’s name and address
Administrator’s EIN |
593727331 |
Plan administrator’s name |
ROBERT S. GOLDIE, D.M.D., P.A. |
Plan administrator’s
address |
7051 DR. PHILLIPS BLVD., SUITE 9, ORLANDO, FL, 32819 |
Administrator’s telephone number |
4073634800 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-30 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT S. GOLDIE, D.M.D., P.A. PROFIT SHARING PLAN
|
2009
|
593727331
|
2010-08-17
|
ROBERT S. GOLDIE, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073634800
|
Plan sponsor’s
address |
7051 DR. PHILLIPS BLVD.,, SUITE 9, ORLANDO, FL, 32819
|
Plan administrator’s name and address
Administrator’s EIN |
593727331 |
Plan administrator’s name |
ROBERT S. GOLDIE, D.M.D., P.A. |
Plan administrator’s
address |
7051 DR. PHILLIPS BLVD.,, SUITE 9, ORLANDO, FL, 32819 |
Administrator’s telephone number |
4073634800 |
Signature of
Role |
Plan administrator |
Date |
2010-08-17 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-17 |
Name of individual signing |
ROBERT S. GOLDIE, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|