|
PAUL L. CAPUTO, D. D. S. , P. A. 401(K) PLAN
|
2016
|
753211429
|
2017-07-05
|
PAUL L. CAPUTO, D. D. S. , P. A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1990-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7277891333
|
| Plan sponsor’s
address |
3490 EAST LAKE ROAD, SUITE A, PALM HARBOR, FL, 346852421
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-05 |
| Name of individual signing |
PAUL L. CAPUTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-07-05 |
| Name of individual signing |
PAUL L CAPUTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PAUL L. CAPUTO, D. D. S. , P. A. 401(K) PLAN
|
2015
|
753211429
|
2016-10-04
|
PAUL L. CAPUTO, D. D. S. , P. A.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1990-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7277891333
|
| Plan sponsor’s
address |
3490 EAST LAKE ROAD, SUITE A, PALM HARBOR, FL, 346852421
|
Signature of
| Role |
Plan administrator |
| Date |
2016-10-03 |
| Name of individual signing |
PAUL L. CAPUTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PAUL L. CAPUTO, D.D.S., P.A. 401(K) PLAN
|
2009
|
753211429
|
2010-07-19
|
PAUL L. CAPUTO, D.D.S., P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1990-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7277891333
|
| Plan sponsor’s
address |
3490 EAST LAKE ROAD, SUITE A, PALM HARBOR, FL, 346852421
|
Plan administrator’s name and address
| Administrator’s EIN |
753211429 |
| Plan administrator’s name |
PAUL L. CAPUTO, D.D.S., P.A. |
| Plan administrator’s
address |
3490 EAST LAKE ROAD, SUITE A, PALM HARBOR, FL, 346852421 |
| Administrator’s telephone number |
7277891333 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-19 |
| Name of individual signing |
PAUL L. CAPUTO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PAUL L. CAPUTO, D.D.S., P.A. 401(K) PLAN
|
2009
|
753211429
|
2010-07-06
|
PAUL L. CAPUTO, D.D.S., P.A.
|
6
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1990-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7277891333
|
| Plan sponsor’s
address |
3490 EAST LAKE ROAD, SUITE A, PALM HARBOR, FL, 346852421
|
Plan administrator’s name and address
| Administrator’s EIN |
753211429 |
| Plan administrator’s name |
PAUL L. CAPUTO, D.D.S., P.A. |
| Plan administrator’s
address |
3490 EAST LAKE ROAD, SUITE A, PALM HARBOR, FL, 346852421 |
| Administrator’s telephone number |
7277891333 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-06 |
| Name of individual signing |
PAUL L. CAPUTO |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
