DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2017
|
204870002
|
2018-07-09
|
DIETRICH DENTAL SERVICES, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Signature of
Role |
Plan administrator |
Date |
2018-07-09 |
Name of individual signing |
JOHN L. DIETRICH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2016
|
204870002
|
2018-01-25
|
DIETRICH DENTAL SERVICES, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Signature of
Role |
Plan administrator |
Date |
2018-01-25 |
Name of individual signing |
JOHN L. DIETRICH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2015
|
204870002
|
2016-10-10
|
DIETRICH DENTAL SERVICES, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Signature of
Role |
Plan administrator |
Date |
2016-10-10 |
Name of individual signing |
JOHN L. DIETRICH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2014
|
204870002
|
2015-10-15
|
DIETRICH DENTAL SERVICES, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
JOHN L. DIETRICH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2014
|
204870002
|
2015-07-29
|
DIETRICH DENTAL SERVICES, P.A.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
JOHN L. DIETRICH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2013
|
204870002
|
2014-09-25
|
DIETRICH DENTAL SERVICES, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Signature of
Role |
Plan administrator |
Date |
2014-09-25 |
Name of individual signing |
JOHN L. DIETRICH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2012
|
204870002
|
2013-09-13
|
DIETRICH DENTAL SERVICES, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Signature of
Role |
Plan administrator |
Date |
2013-09-13 |
Name of individual signing |
JOHN L. DIETRICH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2011
|
204870002
|
2012-02-17
|
DIETRICH DENTAL SERVICES, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Plan administrator’s name and address
Administrator’s EIN |
204870002 |
Plan administrator’s name |
DIETRICH DENTAL SERVICES, P.A. |
Plan administrator’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626 |
Administrator’s telephone number |
9416257877 |
Signature of
Role |
Plan administrator |
Date |
2012-02-17 |
Name of individual signing |
JACQUELINE WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2010
|
204870002
|
2011-03-11
|
DIETRICH DENTAL SERVICES, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626
|
Plan administrator’s name and address
Administrator’s EIN |
204870002 |
Plan administrator’s name |
DIETRICH DENTAL SERVICES, P.A. |
Plan administrator’s
address |
17178 TOLEDO BLADE BLVD., PORT CHARLOTTE, FL, 339542626 |
Administrator’s telephone number |
9416257877 |
Signature of
Role |
Plan administrator |
Date |
2011-03-11 |
Name of individual signing |
JACQUELINE WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIETRICH DENTAL SERVICES, P.A. RETIREMENT PLAN
|
2009
|
204870002
|
2010-09-24
|
DIETRICH DENTAL SERVICES, P.A.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9416257877
|
Plan sponsor’s
address |
17178 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL, 339542626
|
Plan administrator’s name and address
Administrator’s EIN |
204870002 |
Plan administrator’s name |
DIETRICH DENTAL SERVICES, P.A. |
Plan administrator’s
address |
17178 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL, 339542626 |
Administrator’s telephone number |
9416257877 |
Signature of
Role |
Plan administrator |
Date |
2010-09-24 |
Name of individual signing |
JOHN L. DIETRICH, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|