PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
861161359
|
2018-07-27
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125
|
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
ELIZABETH ASHCRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
861161359
|
2018-06-28
|
PREMIER DENTAL LABORATORY INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125
|
Signature of
Role |
Plan administrator |
Date |
2018-06-28 |
Name of individual signing |
ELIZABETH ASHCRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
861161359
|
2017-05-19
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125
|
Signature of
Role |
Plan administrator |
Date |
2017-05-19 |
Name of individual signing |
ELIZABETH ASHCRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
861161359
|
2016-07-07
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125
|
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
ELIZABETH J ASHCRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
861161359
|
2015-06-29
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125
|
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
ELIZABETH J ASHCRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
861161359
|
2014-05-28
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125
|
Signature of
Role |
Plan administrator |
Date |
2014-05-28 |
Name of individual signing |
E ASHCRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
861161359
|
2013-06-02
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125
|
Signature of
Role |
Plan administrator |
Date |
2013-06-02 |
Name of individual signing |
PREMIER DENTAL LABORATORY INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
861161359
|
2012-05-10
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125
|
Plan administrator’s name and address
Administrator’s EIN |
861161359 |
Plan administrator’s name |
PREMIER DENTAL LABORATORY INC |
Plan administrator’s
address |
4832 9TH AVE N, SAINT PETERSBURG, FL, 337136125 |
Administrator’s telephone number |
7274220868 |
Signature of
Role |
Plan administrator |
Date |
2012-05-10 |
Name of individual signing |
PREMIER DENTAL LABORATORY INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
861161359
|
2011-05-04
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
9371 US HWY 19 SUITE C, PINELLAS PARK, FL, 337820000
|
Plan administrator’s name and address
Administrator’s EIN |
861161359 |
Plan administrator’s name |
PREMIER DENTAL LABORATORY INC |
Plan administrator’s
address |
9371 US HWY 19 SUITE C, PINELLAS PARK, FL, 337820000 |
Administrator’s telephone number |
7274220868 |
Signature of
Role |
Plan administrator |
Date |
2011-05-04 |
Name of individual signing |
PREMIER DENTAL LABORATORY INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER DENTAL LABORATORY INC
|
2009
|
861161359
|
2010-05-19
|
PREMIER DENTAL LABORATORY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
7274220868
|
Plan sponsor’s
address |
9371 US HWY 19 SUITE C, PINELLAS PARK, FL, 337820000
|
Plan administrator’s name and address
Administrator’s EIN |
861161359 |
Plan administrator’s name |
PREMIER DENTAL LABORATORY INC |
Plan administrator’s
address |
9371 US HWY 19 SUITE C, PINELLAS PARK, FL, 337820000 |
Administrator’s telephone number |
7274220868 |
Signature of
Role |
Plan administrator |
Date |
2010-05-19 |
Name of individual signing |
PREMIER DENTAL LABORATORY INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|