OANA MIERLOI DDS PA 401 K PROFIT SHARING PLAN TRUST
|
2014
|
205919853
|
2015-06-18
|
OANA MIERLOI, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3866775552
|
Plan sponsor’s
address |
1425 HAND AVE STE J, ORMOND BEACH, FL, 321741136
|
Signature of
Role |
Plan administrator |
Date |
2015-06-18 |
Name of individual signing |
OANA MIERLOI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OANA MIERLOI DDS PA 401 K PROFIT SHARING PLAN TRUST
|
2013
|
205919853
|
2014-07-16
|
OANA MIERLOI, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3866775552
|
Plan sponsor’s
address |
1425 HAND AVE STE J, ORMOND BEACH, FL, 321741136
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
OANA MIERLOI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OANA MIERLOI DDS PA 401 K PROFIT SHARING PLAN TRUST
|
2012
|
205919853
|
2013-07-05
|
OANA MIERLOI, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3866775552
|
Plan sponsor’s
address |
1425 HAND AVE STE J, ORMOND BEACH, FL, 321741136
|
Signature of
Role |
Plan administrator |
Date |
2013-07-05 |
Name of individual signing |
OANA MIERLOI, D.D.S., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OANA MIERLOI DDS PA 401 K PROFIT SHARING PLAN TRUST
|
2011
|
205919853
|
2012-07-30
|
OANA MIERLOI, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3866775552
|
Plan sponsor’s
address |
1425 HAND AVE STE J, ORMOND BEACH, FL, 321741136
|
Plan administrator’s name and address
Administrator’s EIN |
205919853 |
Plan administrator’s name |
OANA MIERLOI, D.D.S., P.A. |
Plan administrator’s
address |
1425 HAND AVE STE J, ORMOND BEACH, FL, 321741136 |
Administrator’s telephone number |
3866775552 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
OANA MIERLOI, D.D.S., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OANA MIERLOI, D.D.S., P.A. 401 K PROFIT SHARING PLAN TRUST
|
2010
|
205919853
|
2012-07-30
|
OANA MIERLOI, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3866775552
|
Plan sponsor’s
address |
1425 HAND AVENUE SUITE J, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
Administrator’s EIN |
205919853 |
Plan administrator’s name |
OANA MIERLOI, D.D.S., P.A. |
Plan administrator’s
address |
1425 HAND AVENUE SUITE J, ORMOND BEACH, FL, 32174 |
Administrator’s telephone number |
3866775552 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
OANA MIERLOI, D.D.S., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OANA MIERLOI, D.D.S., P.A.
|
2009
|
205919853
|
2010-08-02
|
OANA MIERLOI, D.D.S., P.A.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
339116
|
Sponsor’s telephone number |
3866775552
|
Plan sponsor’s
address |
1425 HAND AVENUE SUITE J, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
Administrator’s EIN |
205919853 |
Plan administrator’s name |
OANA MIERLOI, D.D.S., P.A. |
Plan administrator’s
address |
1425 HAND AVENUE SUITE J, ORMOND BEACH, FL, 32174 |
Administrator’s telephone number |
3866775552 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
OANA MIERLOI, D.D.S., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|