THOMAS C. WORCESTER, D. D. S. , P. A. RETIREMENT PLAN
|
2019
|
260023160
|
2020-11-08
|
THOMAS C. WORCESTER, D. D. S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, STE 104, POMPANO BEACH, FL, 33062
|
Signature of
Role |
Plan administrator |
Date |
2020-11-08 |
Name of individual signing |
THOMAS WORCESTER, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-08 |
Name of individual signing |
THOMAS WORCESTER, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. WORCESTER, D. D. S. , P. A. RETIREMENT PLAN
|
2019
|
260023160
|
2020-06-24
|
THOMAS C. WORCESTER, D. D. S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, STE 104, POMPANO BEACH, FL, 33062
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
THOMAS WORCESTER, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-24 |
Name of individual signing |
THOMAS WORCESTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. WORCESTER, D. D. S. , P. A. RETIREMENT PLAN
|
2018
|
260023160
|
2019-07-22
|
THOMAS C. WORCESTER, D. D. S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 33062
|
Signature of
Role |
Plan administrator |
Date |
2019-07-22 |
Name of individual signing |
THOMAS WORCESTER, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. WORCESTER, D. D. S. , P. A. RETIREMENT PLAN
|
2017
|
260023160
|
2018-08-28
|
THOMAS C. WORCESTER, D. D. S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 33062
|
Signature of
Role |
Plan administrator |
Date |
2018-08-28 |
Name of individual signing |
THOMAS WORCESTER, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-28 |
Name of individual signing |
THOMAS WORCESTER DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. WORCESTER, D.D.S., P.A. RETIREMENT PLAN
|
2013
|
260023160
|
2014-04-24
|
THOMAS C. WORCESTER, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 330621147
|
Signature of
Role |
Plan administrator |
Date |
2014-04-24 |
Name of individual signing |
THOMAS C. WORCESTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. WORCESTER, D.D.S., P.A. RETIREMENT PLAN
|
2012
|
260023160
|
2013-08-19
|
THOMAS C. WORCESTER, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 330621147
|
Signature of
Role |
Plan administrator |
Date |
2013-08-19 |
Name of individual signing |
THOMAS C. WORCESTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. WORCESTER, D.D.S., P.A. RETIREMENT PLAN
|
2011
|
260023160
|
2012-09-18
|
THOMAS C. WORCESTER, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 330621147
|
Plan administrator’s name and address
Administrator’s EIN |
260023160 |
Plan administrator’s name |
THOMAS C. WORCESTER, D.D.S., P.A. |
Plan administrator’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 330621147 |
Administrator’s telephone number |
9549412606 |
Signature of
Role |
Plan administrator |
Date |
2012-09-18 |
Name of individual signing |
THOMAS C. WORCESTER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. WORCESTER, D.D.S., P.A. RETIREMENT PLAN
|
2010
|
260023160
|
2011-09-29
|
THOMAS C. WORCESTER, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 330621147
|
Plan administrator’s name and address
Administrator’s EIN |
260023160 |
Plan administrator’s name |
THOMAS C. WORCESTER, D.D.S., P.A. |
Plan administrator’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 330621147 |
Administrator’s telephone number |
9549412606 |
Signature of
Role |
Plan administrator |
Date |
2011-09-29 |
Name of individual signing |
THOMAS C. WORCESTER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS C. WORCESTER, D.D.S., P.A. RETIREMENT PLAN
|
2009
|
260023160
|
2010-09-23
|
THOMAS C. WORCESTER, D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549412606
|
Plan sponsor’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 330621147
|
Plan administrator’s name and address
Administrator’s EIN |
260023160 |
Plan administrator’s name |
THOMAS C. WORCESTER, D.D.S., P.A. |
Plan administrator’s
address |
2323 NE 26TH AVENUE, SUITE 104, POMPANO BEACH, FL, 330621147 |
Administrator’s telephone number |
9549412606 |
Signature of
Role |
Plan administrator |
Date |
2010-09-23 |
Name of individual signing |
THOMAS C. WORCESTER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|