FAMILY DENTIST OF PALM BEACH INC 401(K) PLAN
|
2023
|
510437993
|
2024-07-09
|
FAMILY DENTIST OF PALM BEACH INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612360707
|
Plan sponsor’s
address |
11903 SOUTHERN BOULEVARD, SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2024-07-09 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-09 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC 401(K) PLAN
|
2022
|
510437993
|
2023-06-16
|
FAMILY DENTIST OF PALM BEACH INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612360707
|
Plan sponsor’s
address |
11903 SOUTHERN BOULEVARD, SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2023-06-16 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC 401(K) PLAN
|
2021
|
510437993
|
2022-06-10
|
FAMILY DENTIST OF PALM BEACH INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612360707
|
Plan sponsor’s
address |
11903 SOUTHERN BOULEVARD, SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2022-06-10 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC 401(K) PLAN
|
2020
|
510437993
|
2021-06-11
|
FAMILY DENTIST OF PALM BEACH INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5612360707
|
Plan sponsor’s
address |
11903 SOUTHERN BOULEVARD, SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2021-06-11 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC PROFIT SHARING PLAN
|
2019
|
510437993
|
2020-06-23
|
FAMILY DENTIST OF PALM BEACH INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617957668
|
Plan sponsor’s
address |
11903 SOUTHERN BLVD SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2020-06-23 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC PROFIT SHARING PLAN
|
2018
|
510437993
|
2019-06-13
|
FAMILY DENTIST OF PALM BEACH INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617957668
|
Plan sponsor’s
address |
11903 SOUTHERN BLVD SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2019-06-13 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC PROFIT SHARING PLAN
|
2017
|
510437993
|
2018-06-29
|
FAMILY DENTIST OF PALM BEACH INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617957668
|
Plan sponsor’s
address |
11903 SOUTHERN BLVD SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2018-06-29 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC PROFIT SHARING PLAN
|
2016
|
510437993
|
2017-06-16
|
FAMILY DENTIST OF PALM BEACH INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617957668
|
Plan sponsor’s
address |
11903 SOUTHERN BLVD SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2017-06-16 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC PROFIT SHARING PLAN
|
2015
|
510437993
|
2016-07-11
|
FAMILY DENTIST OF PALM BEACH INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617957668
|
Plan sponsor’s
address |
11903 SOUTHERN BLVD SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTIST OF PALM BEACH INC PROFIT SHARING PLAN
|
2014
|
510437993
|
2015-07-21
|
FAMILY DENTIST OF PALM BEACH INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617957668
|
Plan sponsor’s
address |
11903 SOUTHERN BLVD SUITE 116, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-21 |
Name of individual signing |
NARENDRA SIRIVOLU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|