DAMION WILLIAMS DMD PA 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
204477038
|
2023-11-03
|
DAMION WILLIAMS DMD PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
259 BELLAGIO CIRCLE, SANFORD, FL, 327717390
|
Signature of
Role |
Plan administrator |
Date |
2023-11-03 |
Name of individual signing |
DAMION WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
204477038
|
2020-06-12
|
DAMION WILLIAMS DMD PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
259 BELLAGIO CIRCLE, SANFORD, FL, 327717390
|
Signature of
Role |
Plan administrator |
Date |
2020-06-12 |
Name of individual signing |
DAMION WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2018
|
204477038
|
2019-07-24
|
DAMION WILLIAMS DMD PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
259 BELLAGIO CIRCLE, SANFORD, FL, 327717390
|
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
DAMION WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2016
|
204477038
|
2017-10-04
|
DAMION WILLIAMS DMD PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
1145 RINEHART RD, SANFORD, FL, 327717390
|
Signature of
Role |
Plan administrator |
Date |
2017-10-04 |
Name of individual signing |
DAMION WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2015
|
204477038
|
2016-06-23
|
DAMION WILLIAMS DMD PA
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
1145 RINEHART RD, SANFORD, FL, 327717390
|
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
DAMION WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2014
|
204477038
|
2015-07-30
|
DAMION WILLIAMS DMD PA
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
1145 RINEHART RD, SANFORD, FL, 327717390
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
DAMION WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2013
|
204477038
|
2014-06-04
|
DAMION WILLIAMS DMD PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
1145 RINEHART RD, SANFORD, FL, 327717390
|
Signature of
Role |
Plan administrator |
Date |
2014-06-04 |
Name of individual signing |
DAMION WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2012
|
204477038
|
2013-06-13
|
DAMION WILLIAMS DMD PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
1145 RINEHART RD, SANFORD, FL, 327717390
|
Signature of
Role |
Plan administrator |
Date |
2013-06-13 |
Name of individual signing |
DAMION WILLIAMS DMD PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2011
|
204477038
|
2012-05-16
|
DAMION WILLIAMS DMD PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
1145 RINEHART RD, SANFORD, FL, 327717390
|
Plan administrator’s name and address
Administrator’s EIN |
204477038 |
Plan administrator’s name |
DAMION WILLIAMS DMD PA |
Plan administrator’s
address |
1145 RINEHART RD, SANFORD, FL, 327717390 |
Administrator’s telephone number |
4073304047 |
Signature of
Role |
Plan administrator |
Date |
2012-05-16 |
Name of individual signing |
DAMION WILLIAMS DMD PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAMION WILLIAMS DMD PA 401 K PROFIT SHARING PLAN TRUST
|
2010
|
204477038
|
2013-01-23
|
DAMION WILLIAMS DMD PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073304047
|
Plan sponsor’s
address |
1145 RINEHART RD, SANFORD, FL, 327710000
|
Plan administrator’s name and address
Administrator’s EIN |
204477038 |
Plan administrator’s name |
DAMION WILLIAMS DMD PA |
Plan administrator’s
address |
1145 RINEHART RD, SANFORD, FL, 327710000 |
Administrator’s telephone number |
4073304047 |
Signature of
Role |
Plan administrator |
Date |
2013-01-23 |
Name of individual signing |
DAMION WILLIAMS DMD PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|