|
MARK E ROBERTS DDS
|
2013
|
651265682
|
2014-05-25
|
MARK E ROBERTS DDS PA
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-12-22
|
| Business code |
621210
|
| Sponsor’s telephone number |
5616763700
|
| Plan sponsor’s mailing address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33406
|
| Plan sponsor’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33406
|
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2014-05-25 |
| Name of individual signing |
MARK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK E ROBERTS DDS
|
2012
|
651265682
|
2013-05-31
|
MARK E ROBERTS DDS PA
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-12-22
|
| Business code |
621210
|
| Sponsor’s telephone number |
5617361700
|
| Plan sponsor’s mailing address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426
|
| Plan sponsor’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426
|
Plan administrator’s name and address
| Administrator’s EIN |
651265682 |
| Plan administrator’s name |
MARK E ROBERTS DDS PA |
| Plan administrator’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426 |
| Administrator’s telephone number |
5617361700 |
Number of participants as of the end of the plan year
| Active participants |
4 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-05-31 |
| Name of individual signing |
MARK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK E ROBERTS DDS
|
2011
|
651265682
|
2012-05-01
|
MARK E ROBERTS DDS PA
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-12-22
|
| Business code |
621210
|
| Sponsor’s telephone number |
5617361700
|
| Plan sponsor’s mailing address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426
|
| Plan sponsor’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426
|
Plan administrator’s name and address
| Administrator’s EIN |
651265682 |
| Plan administrator’s name |
MARK E ROBERTS DDS PA |
| Plan administrator’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426 |
| Administrator’s telephone number |
5617361700 |
Number of participants as of the end of the plan year
| Active participants |
4 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-01 |
| Name of individual signing |
MARK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK E ROBERTS DDS
|
2010
|
651265682
|
2011-04-28
|
MARK E ROBERTS DDS PA
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-12-22
|
| Business code |
621210
|
| Sponsor’s telephone number |
5617361700
|
| Plan sponsor’s mailing address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426
|
| Plan sponsor’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426
|
Plan administrator’s name and address
| Administrator’s EIN |
651265682 |
| Plan administrator’s name |
MARK E ROBERTS DDS PA |
| Plan administrator’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426 |
| Administrator’s telephone number |
5617361700 |
Number of participants as of the end of the plan year
| Active participants |
4 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-28 |
| Name of individual signing |
MARK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK E ROBERTS DDS
|
2009
|
651265682
|
2010-03-29
|
MARK E ROBERTS DDS PA
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-12-22
|
| Business code |
621210
|
| Sponsor’s telephone number |
5617361700
|
| Plan sponsor’s mailing address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426
|
| Plan sponsor’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426
|
Plan administrator’s name and address
| Administrator’s EIN |
651265682 |
| Plan administrator’s name |
MARK E ROBERTS DDS PA |
| Plan administrator’s
address |
650 WEST BOYNTON BEACH BLVD, SUITE 2, BOYNTON BEACH, FL, 33426 |
| Administrator’s telephone number |
5617361700 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-03-29 |
| Name of individual signing |
MARK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
