ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2019
|
203806026
|
2020-10-14
|
STEPHEN STROUT, DMD, MS, PA
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 204, ST. AUGUSTINE, FL, 32080
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2018
|
203806026
|
2019-10-14
|
STEPHEN STROUT, DMD, MS, PA
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 204, ST. AUGUSTINE, FL, 32080
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2017
|
203806026
|
2018-10-15
|
STEPHEN STROUT, DMD, MS, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 204, ST. AUGUSTINE, FL, 32080
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2016
|
203806026
|
2017-10-10
|
STEPHEN STROUT, DMD, MS, PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 204, ST. AUGUSTINE, FL, 32080
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2015
|
203806026
|
2016-10-13
|
STEPHEN STROUT, DMD, MS, PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 204, ST. AUGUSTINE, FL, 32080
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2014
|
203806026
|
2015-10-13
|
STEPHEN STROUT, DMD, MS, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 204, ST. AUGUSTINE, FL, 32080
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
STEPHEN STROUT, DMD, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2013
|
203806026
|
2014-10-06
|
STEPHEN STROUT, DMD, MS, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 204, ST. AUGUSTINE, FL, 32080
|
Signature of
Role |
Plan administrator |
Date |
2014-10-06 |
Name of individual signing |
STEPHEN STROUT, DMD, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2012
|
203806026
|
2013-10-15
|
STEPHEN STROUT, DMD, MS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 204, ST. AUGUSTINE, FL, 32080
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
STEPHEN STROUT, DMD, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2011
|
203806026
|
2012-10-10
|
STEPHEN STROUT, DMD, MS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
528 SEBASTIAN SQUARE, ST. AUGUSTINE, FL, 32095
|
Plan administrator’s name and address
Administrator’s EIN |
203806026 |
Plan administrator’s name |
STEPHEN STROUT, DMD, MS, PA |
Plan administrator’s
address |
528 SEBASTIAN SQUARE, ST. AUGUSTINE, FL, 32095 |
Administrator’s telephone number |
9047941824 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
STEPHEN STROUT, DMD, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS RETIREMENT PLAN & TRUST
|
2010
|
203806026
|
2011-09-13
|
STEPHEN STROUT, DMD, MS, PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047941824
|
Plan sponsor’s
address |
528 SEBASTIAN SQUARE, ST. AUGUSTINE, FL, 32095
|
Plan administrator’s name and address
Administrator’s EIN |
203806026 |
Plan administrator’s name |
STEPHEN STROUT, DMD, MS, PA |
Plan administrator’s
address |
528 SEBASTIAN SQUARE, ST. AUGUSTINE, FL, 32095 |
Administrator’s telephone number |
9047941824 |
Signature of
Role |
Plan administrator |
Date |
2011-09-13 |
Name of individual signing |
STEPHEN STROUT, DMD, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-13 |
Name of individual signing |
STEPHEN STROUT, DMD, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|