|
PETER SCERBO, DMD, P.A 401(K) PROFIT SHARING PLAN
|
2010
|
201577593
|
2011-10-06
|
PETER SCERBO, DMD, P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9545236525
|
| Plan sponsor’s
address |
19390 COLLINS AVENUE, 201A, SUNNY ISLE BEACH, FL, 33160
|
Plan administrator’s name and address
| Administrator’s EIN |
201577593 |
| Plan administrator’s name |
PETER SCERBO, DMD, P.A. |
| Plan administrator’s
address |
19390 COLLINS AVENUE, 201A, SUNNY ISLE BEACH, FL, 33160 |
| Administrator’s telephone number |
9545236525 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
PETER SCERBO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PETER SCERBO, DMD, P.A 401(K) PROFIT SHARING PLAN
|
2009
|
201577593
|
2010-10-15
|
PETER SCERBO, DMD, P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9545236525
|
| Plan sponsor’s
address |
19390 COLLINS AVENUE, 201A, SUNNY ISLE BEACH, FL, 33160
|
Plan administrator’s name and address
| Administrator’s EIN |
201577593 |
| Plan administrator’s name |
PETER SCERBO, DMD, P.A. |
| Plan administrator’s
address |
19390 COLLINS AVENUE, 201A, SUNNY ISLE BEACH, FL, 33160 |
| Administrator’s telephone number |
9545236525 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
PETER SCERBO, DMD, PA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PETER SCERBO, DMD, P.A 401(K) PROFIT SHARING PLAN
|
2009
|
201577593
|
2010-10-14
|
PETER SCERBO, DMD, P.A.
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9545236525
|
| Plan sponsor’s
address |
19390 COLLINS AVENUE, 201A, SUNNY ISLE BEACH, FL, 33160
|
Plan administrator’s name and address
| Administrator’s EIN |
201577593 |
| Plan administrator’s name |
PETER SCERBO, DMD, P.A. |
| Plan administrator’s
address |
19390 COLLINS AVENUE, 201A, SUNNY ISLE BEACH, FL, 33160 |
| Administrator’s telephone number |
9545236525 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
PETER SCERBO, DMD, PA |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
