DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
043735133
|
2024-10-09
|
DENNIS B. DAVIS, D.M.D., P.A
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 CR 103, STE101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2024-10-09 |
Name of individual signing |
DENNIS DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
043735133
|
2023-08-14
|
DENNIS B. DAVIS, D.M.D., P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 COUNTY ROAD 103, SUITE 101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2023-08-14 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
043735133
|
2022-07-14
|
DENNIS B. DAVIS, D.M.D., P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 COUNTY ROAD 103, SUITE 101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
043735133
|
2021-07-26
|
DENNIS B. DAVIS, D.M.D., P.A.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 COUNTY ROAD 103, SUITE 101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
043735133
|
2022-04-28
|
DENNIS B. DAVIS, D.M.D., P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 COUNTY ROAD 103, SUITE 101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2022-04-28 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
043735133
|
2020-07-29
|
DENNIS B. DAVIS, D.M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 COUNTY ROAD 103, SUITE 101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
043735133
|
2019-07-19
|
DENNIS B. DAVIS, D.M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 COUNTY ROAD 103, SUITE 101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
043735133
|
2018-06-18
|
DENNIS B. DAVIS, D.M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 COUNTY ROAD 103, SUITE 101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
043735133
|
2017-04-14
|
DENNIS B. DAVIS, D.M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
12161 COUNTY ROAD 103, SUITE 101, OXFORD, FL, 34484
|
Signature of
Role |
Plan administrator |
Date |
2017-04-14 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS B. DAVIS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
043735133
|
2016-04-29
|
DENNIS B. DAVIS, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3522596799
|
Plan sponsor’s
address |
13690 NORTH US HWY 441, SUITE 100, LADY LAKE, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2016-04-29 |
Name of individual signing |
DENNIS B. DAVIS, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|