MERRITT ISLAND DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2013
|
522379451
|
2014-10-14
|
MERRITT ISLAND DENTAL CENTER, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214544440
|
Plan sponsor’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
MICHELLE DORSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERRITT ISLAND DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2012
|
522379451
|
2013-09-25
|
MERRITT ISLAND DENTAL CENTER, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214544440
|
Plan sponsor’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638
|
Plan administrator’s name and address
Administrator’s EIN |
522379451 |
Plan administrator’s name |
MERRITT ISLAND DENTAL CENTER, P.A. |
Plan administrator’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638 |
Administrator’s telephone number |
3214544440 |
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
MICHELLE DORSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERRITT ISLAND DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2011
|
522379451
|
2012-02-06
|
MERRITT ISLAND DENTAL CENTER, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214544440
|
Plan sponsor’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638
|
Plan administrator’s name and address
Administrator’s EIN |
522379451 |
Plan administrator’s name |
MERRITT ISLAND DENTAL CENTER, P.A. |
Plan administrator’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638 |
Administrator’s telephone number |
3214544440 |
Signature of
Role |
Plan administrator |
Date |
2012-02-06 |
Name of individual signing |
MICHELLE DORSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERRITT ISLAND DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2010
|
522379451
|
2011-03-16
|
MERRITT ISLAND DENTAL CENTER, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214544440
|
Plan sponsor’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638
|
Plan administrator’s name and address
Administrator’s EIN |
522379451 |
Plan administrator’s name |
MERRITT ISLAND DENTAL CENTER, P.A. |
Plan administrator’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638 |
Administrator’s telephone number |
3214544440 |
Signature of
Role |
Plan administrator |
Date |
2011-03-16 |
Name of individual signing |
MICHELLE DORSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERRITT ISLAND DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2009
|
522379451
|
2010-07-08
|
MERRITT ISLAND DENTAL CENTER, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3214544440
|
Plan sponsor’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638
|
Plan administrator’s name and address
Administrator’s EIN |
522379451 |
Plan administrator’s name |
MERRITT ISLAND DENTAL CENTER, P.A. |
Plan administrator’s
address |
325-M EAST MERRITT ISLAND CSWY, MERRITT ISLAND, FL, 329523638 |
Administrator’s telephone number |
3214544440 |
Signature of
Role |
Plan administrator |
Date |
2010-07-08 |
Name of individual signing |
DR. MICHELLE M. DORSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|