HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
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270082435
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2021-05-18
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HAL BOZOF, D.P.M., P.A.
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6
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
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Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
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2020
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270082435
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2021-12-14
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HAL BOZOF, D.P.M., P.A.
|
5
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
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270082435
|
2020-07-10
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HAL BOZOF, D.P.M., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
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270082435
|
2019-07-15
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HAL BOZOF, D.P.M., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
270082435
|
2018-07-27
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HAL BOZOF, D.P.M., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
270082435
|
2017-07-11
|
HAL BOZOF, D.P.M., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
Signature of
Role |
Plan administrator |
Date |
2017-07-11 |
Name of individual signing |
HAL BOZOF, D.P.M. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
270082435
|
2016-07-11
|
HAL BOZOF, D.P.M., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
HAL BOZOF, D.P.M. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
270082435
|
2015-09-02
|
HAL BOZOF, D.P.M., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
Signature of
Role |
Plan administrator |
Date |
2015-09-02 |
Name of individual signing |
HAL BOZOF, D.P.M. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
270082435
|
2014-09-17
|
HAL BOZOF, D.P.M., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
Signature of
Role |
Plan administrator |
Date |
2014-09-17 |
Name of individual signing |
HAL BOZOF, D.P.M. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-17 |
Name of individual signing |
HAL BOZOF, D.P.M. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL BOZOF, D.P.M., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
270082435
|
2013-07-22
|
HAL BOZOF, D.P.M., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
2392784100
|
Plan sponsor’s
address |
2540 WINKLER AVENUE, FORT MYERS, FL, 339019338
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
HAL BOZOF, D.P.M. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-22 |
Name of individual signing |
HAL BOZOF, D.P.M. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|