GULF COAST FACIAL & ORAL SURGERY CASH BALANCE PLAN
|
2023
|
205136046
|
2024-10-10
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2024-10-10 |
Name of individual signing |
CHADWICK J. MARSHALL, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF COAST FACIAL & ORAL SURGERY, INC. 401(K) PLAN
|
2022
|
205136046
|
2023-10-04
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
CHADWICK J. MARSHALL, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF COAST FACIAL & ORAL SURGERY CASH BALANCE PLAN
|
2022
|
205136046
|
2023-10-04
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
CHADWICK J. MARSHALL, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF COAST FACIAL & ORAL SURGERY CASH BALANCE PLAN
|
2021
|
205136046
|
2022-10-13
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL, 32548
|
|
GULF COAST FACIAL & ORAL SURGERY, INC. 401(K) PLAN
|
2021
|
205136046
|
2022-04-18
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2022-04-18 |
Name of individual signing |
CHADWICK J. MARSHALL, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF COAST FACIAL & ORAL SURGERY CASH BALANCE PLAN
|
2020
|
205136046
|
2021-10-15
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
123 SECOND STREET SE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
CHADWICK J. MARSHALL, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF COAST FACIAL & ORAL SURGERY, INC. 401(K) PLAN
|
2020
|
205136046
|
2021-10-14
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
123 SECOND ST, SE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
ERIC M. SCHEUFLER, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF COAST FACIAL & ORAL SURGERY CASH BALANCE PLAN
|
2019
|
205136046
|
2020-08-17
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
123 SECOND STREET SE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2020-08-17 |
Name of individual signing |
CHADWICK J. MARSHALL, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF COAST FACIAL & ORAL SURGERY, INC. 401(K) PLAN
|
2019
|
205136046
|
2020-06-16
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
123 SECOND ST, SE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2020-06-16 |
Name of individual signing |
ERIC M. SCHEUFLER, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF COAST FACIAL & ORAL SURGERY, INC. 401(K) PLAN
|
2018
|
205136046
|
2019-08-16
|
GULF COAST FACIAL AND ORAL SURGERY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8502697550
|
Plan sponsor’s
address |
123 SECOND ST, SE, FORT WALTON BEACH, FL, 32548
|
Signature of
Role |
Plan administrator |
Date |
2019-08-16 |
Name of individual signing |
ERIC M. SCHEUFLER, DMD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|