DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2017
|
562565069
|
2018-05-17
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
17000 GULF BOULEVARD, SUITE 5N, NORTH REDINGTON BEACH, FL, 337081441
|
Signature of
Role |
Plan administrator |
Date |
2018-05-17 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-17 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2016
|
562565069
|
2017-05-23
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
17000 GULF BOULEVARD, SUITE 5N, NORTH REDINGTON BEACH, FL, 337081441
|
Signature of
Role |
Plan administrator |
Date |
2017-05-23 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-23 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2015
|
562565069
|
2016-05-24
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
17000 GULF BOULEVARD, SUITE 5N, NORTH REDINGTON BEACH, FL, 337081441
|
Signature of
Role |
Plan administrator |
Date |
2016-05-24 |
Name of individual signing |
DANIEL S. DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-24 |
Name of individual signing |
DANIEL S. DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2014
|
562565069
|
2015-10-02
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
6518 SURFSIDE BLVD, APOLLO BEACH, FL, 33572
|
Signature of
Role |
Plan administrator |
Date |
2015-10-02 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-02 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2013
|
562565069
|
2014-10-06
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
6518 SURFSIDE BLVD, APOLLO BEACH, FL, 33572
|
Signature of
Role |
Plan administrator |
Date |
2014-10-06 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-06 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2012
|
562565069
|
2013-08-26
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
6518 SURFSIDE BLVD, APOLLO BEACH, FL, 33572
|
Signature of
Role |
Plan administrator |
Date |
2013-08-26 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-26 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2011
|
562565069
|
2012-08-14
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
6518 SURFSIDE BLVD, APOLLO BEACH, FL, 33572
|
Plan administrator’s name and address
Administrator’s EIN |
562565069 |
Plan administrator’s name |
DANIEL S. DENNISON, M.D., P.A. |
Plan administrator’s
address |
6518 SURFSIDE BLVD, APOLLO BEACH, FL, 33572 |
Administrator’s telephone number |
7722871945 |
Signature of
Role |
Plan administrator |
Date |
2012-08-14 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-14 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2010
|
562565069
|
2011-07-12
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
49 WEST HIGH POINT, STUART, FL, 34996
|
Plan administrator’s name and address
Administrator’s EIN |
562565069 |
Plan administrator’s name |
DANIEL S. DENNISON, M.D., P.A. |
Plan administrator’s
address |
49 WEST HIGH POINT, STUART, FL, 34996 |
Administrator’s telephone number |
7722871945 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
DANIEL DENNISON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2010
|
562565069
|
2011-07-14
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
49 WEST HIGH POINT, STUART, FL, 34996
|
Plan administrator’s name and address
Administrator’s EIN |
562565069 |
Plan administrator’s name |
DANIEL S. DENNISON, M.D., P.A. |
Plan administrator’s
address |
49 WEST HIGH POINT, STUART, FL, 34996 |
Administrator’s telephone number |
7722871945 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
DANIEL S.DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-14 |
Name of individual signing |
DANIEL S.DENNISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL S. DENNISON, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2010
|
562565069
|
2011-07-13
|
DANIEL S. DENNISON, M.D., P.A.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722871945
|
Plan sponsor’s
address |
49 WEST HIGH POINT, STUART, FL, 34996
|
Plan administrator’s name and address
Administrator’s EIN |
562565069 |
Plan administrator’s name |
DANIEL S. DENNISON, M.D., P.A. |
Plan administrator’s
address |
49 WEST HIGH POINT, STUART, FL, 34996 |
Administrator’s telephone number |
7722871945 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
DANIEL S. DENNISON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-13 |
Name of individual signing |
DANIEL S. DENNISON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|