TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2016
|
680619009
|
2017-10-16
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078862050
|
Plan sponsor’s
address |
511 WEKIVA COMMONS CIRCLE, APOPKA, FL, 32712
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2015
|
680619009
|
2016-10-14
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078862050
|
Plan sponsor’s
address |
511 WEKIVA COMMONS CIRCLE, APOPKA, FL, 32712
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2014
|
680619009
|
2015-10-12
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078862050
|
Plan sponsor’s
address |
511 WEKIVA COMMONS CIRCLE, APOPKA, FL, 32712
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2013
|
680619009
|
2014-10-15
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078862050
|
Plan sponsor’s
address |
511 WEKIVA COMMONS CIRCLE, APOPKA, FL, 32712
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DR. RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
DR. RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2012
|
680619009
|
2013-10-15
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078862050
|
Plan sponsor’s
address |
511 WEKIVA COMMONS CIRCLE, APOPKA, FL, 32712
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
DR. RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2011
|
680619009
|
2012-10-11
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078862050
|
Plan sponsor’s
address |
511 WEKIVA COMMONS CIRCLE, APOPKA, FL, 32712
|
Plan administrator’s name and address
Administrator’s EIN |
680619009 |
Plan administrator’s name |
TREVISANI ORAL SURGERY OVIEDO, INC. |
Plan administrator’s
address |
511 WEKIVA COMMONS CIRCLE, APOPKA, FL, 32712 |
Administrator’s telephone number |
4078862050 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
DR. RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
DR. RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2010
|
680619009
|
2011-10-17
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078220205
|
Plan sponsor’s
address |
2421 RIVERTREE CIRCLE, SANFORD, FL, 32771
|
Plan administrator’s name and address
Administrator’s EIN |
680619009 |
Plan administrator’s name |
TREVISANI ORAL SURGERY OVIEDO, INC. |
Plan administrator’s
address |
2421 RIVERTREE CIRCLE, SANFORD, FL, 32771 |
Administrator’s telephone number |
4078220205 |
|
TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2010
|
680619009
|
2011-10-17
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078220205
|
Plan sponsor’s
address |
2421 RIVERTREE CIRCLE, SANFORD, FL, 32771
|
Plan administrator’s name and address
Administrator’s EIN |
680619009 |
Plan administrator’s name |
TREVISANI ORAL SURGERY OVIEDO, INC. |
Plan administrator’s
address |
2421 RIVERTREE CIRCLE, SANFORD, FL, 32771 |
Administrator’s telephone number |
4078220205 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
DR. RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREVISANI & ASSOCIATES DEFINED BENEFIT PLAN
|
2009
|
680619009
|
2010-10-11
|
TREVISANI ORAL SURGERY OVIEDO, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078220205
|
Plan sponsor’s
address |
2421 RIVERTREE CIRCLE, SANFORD, FL, 32771
|
Plan administrator’s name and address
Administrator’s EIN |
680619009 |
Plan administrator’s name |
TREVISANI ORAL SURGERY OVIEDO, INC. |
Plan administrator’s
address |
2421 RIVERTREE CIRCLE, SANFORD, FL, 32771 |
Administrator’s telephone number |
4078220205 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
DR. RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
DR. RONALD J. TREVISANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|