RICHARD PETRILLI DMD PA 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
320002511
|
2020-04-28
|
RICHARD PETRILLI DMD PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2020-04-28 |
Name of individual signing |
ANNETTE M PETRILLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2018
|
320002511
|
2019-06-04
|
RICHARD PETRILLI DMD PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2019-06-04 |
Name of individual signing |
ANNETTE M PETRILLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2017
|
320002511
|
2018-05-24
|
RICHARD PETRILLI DMD PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2018-05-24 |
Name of individual signing |
ANNETTE M PETRILLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2016
|
320002511
|
2017-07-12
|
RICHARD PETRILLI DMD PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
ANNETTE M PETRILLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2015
|
320002511
|
2016-06-14
|
RICHARD PETRILLI DMD PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2016-06-14 |
Name of individual signing |
ANNETTE M PETRILLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2014
|
320002511
|
2015-07-07
|
RICHARD PETRILLI DMD PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
ANNETTE M PETRILLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2013
|
320002511
|
2014-07-17
|
RICHARD PETRILLI DMD PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
ANNETTE M PETRILLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2012
|
320002511
|
2013-06-06
|
RICHARD PETRILLI DMD PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2013-06-06 |
Name of individual signing |
RICHARD PETRILLI DMD PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2012
|
320002511
|
2013-06-06
|
RICHARD PETRILLI DMD PA
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Signature of
Role |
Plan administrator |
Date |
2013-06-06 |
Name of individual signing |
RICHARD PETRILLI DMD PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD PETRILLI DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2011
|
320002511
|
2012-05-14
|
RICHARD PETRILLI DMD PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078841846
|
Plan sponsor’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231
|
Plan administrator’s name and address
Administrator’s EIN |
320002511 |
Plan administrator’s name |
RICHARD PETRILLI DMD PA |
Plan administrator’s
address |
1585 ROCK SPRINGS RD, APOPKA, FL, 327122231 |
Administrator’s telephone number |
4078841846 |
Signature of
Role |
Plan administrator |
Date |
2012-05-14 |
Name of individual signing |
RICHARD PETRILLI DMD PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|