GREGORY E. CHESHIRE, DMD, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593746307
|
2012-09-11
|
GREGORY E. CHESHIRE, DMD, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214534746
|
Plan sponsor’s
address |
1395 NORTH COURTENAY PARKWAY, SUITE, 105, MERRITT ISLAND, FL, 32953
|
Plan administrator’s name and address
Administrator’s EIN |
593746307 |
Plan administrator’s name |
GREGORY E. CHESHIRE, DMD, P.A. |
Plan administrator’s
address |
1395 NORTH COURTENAY PARKWAY, SUITE, 105, MERRITT ISLAND, FL, 32953 |
Administrator’s telephone number |
3214534746 |
Signature of
Role |
Plan administrator |
Date |
2012-09-11 |
Name of individual signing |
GREGORY CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREGORY E. CHESHIRE, DMD, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593746307
|
2012-06-03
|
GREGORY E. CHESHIRE, DMD, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214534746
|
Plan sponsor’s
address |
1395 NORTH COURTENAY PARKWAY, SUITE, 105, MERRITT ISLAND, FL, 32953
|
Plan administrator’s name and address
Administrator’s EIN |
593746307 |
Plan administrator’s name |
GREGORY E. CHESHIRE, DMD, P.A. |
Plan administrator’s
address |
1395 NORTH COURTENAY PARKWAY, SUITE, 105, MERRITT ISLAND, FL, 32953 |
Administrator’s telephone number |
3214534746 |
Signature of
Role |
Plan administrator |
Date |
2012-06-03 |
Name of individual signing |
GREGORY CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-03 |
Name of individual signing |
GREGORY CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREGORY E. CHESHIRE, DMD, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593746307
|
2011-05-23
|
GREGORY E. CHESHIRE, DMD, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214534746
|
Plan sponsor’s
address |
3200 SOUTH OAK DRIVE, MERRITT ISLAND, FL, 32952
|
Plan administrator’s name and address
Administrator’s EIN |
593746307 |
Plan administrator’s name |
GREGORY E. CHESHIRE, DMD, P.A. |
Plan administrator’s
address |
3200 SOUTH OAK DRIVE, MERRITT ISLAND, FL, 32952 |
Administrator’s telephone number |
3214534746 |
Signature of
Role |
Plan administrator |
Date |
2011-05-23 |
Name of individual signing |
GREGORY E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREGORY E. CHESHIRE, DMD, P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
593746307
|
2010-06-23
|
GREGORY E. CHESHIRE, DMD, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214534746
|
Plan sponsor’s
address |
1395 N. COURTENAY PARKWAY, STE 105, MERRITT ISLAND, FL, 32953
|
Plan administrator’s name and address
Administrator’s EIN |
593746307 |
Plan administrator’s name |
GREGORY E. CHESHIRE, DMD, P.A. |
Plan administrator’s
address |
1395 N. COURTENAY PARKWAY, STE 105, MERRITT ISLAND, FL, 32953 |
Administrator’s telephone number |
3214534746 |
Signature of
Role |
Plan administrator |
Date |
2010-06-23 |
Name of individual signing |
GREGORY E CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|