S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
743202755
|
2024-02-15
|
S. KEITH MAHAN, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
2917 BANCHORY ROAD, WINTER PARK, FL, 32792
|
Signature of
Role |
Plan administrator |
Date |
2024-02-15 |
Name of individual signing |
S. KEITH MAHAN, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-02-15 |
Name of individual signing |
S. KEITH MAHAN, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
743202755
|
2023-03-13
|
S. KEITH MAHAN, D.D.S., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
2917 BANCHORY ROAD, WINTER PARK, FL, 32792
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
743202755
|
2021-10-06
|
S. KEITH MAHAN, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
1224 SLIGH BLVD, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2021-10-06 |
Name of individual signing |
S. KEITH MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-06 |
Name of individual signing |
S. KEITH MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
743202755
|
2020-10-10
|
S. KEITH MAHAN, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
1224 SLIGH BLVD, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2020-10-10 |
Name of individual signing |
S. KEITH MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-10 |
Name of individual signing |
S. KEITH MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
743202755
|
2019-10-10
|
S. KEITH MAHAN, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
1224 SLIGH BLVD, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
STEWARD MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-10 |
Name of individual signing |
STEWARD MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
743202755
|
2018-09-27
|
S. KEITH MAHAN, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
1224 SLIGH BLVD, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2018-09-27 |
Name of individual signing |
STEWARD MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-27 |
Name of individual signing |
STEWARD MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
743202755
|
2018-01-30
|
S. KEITH MAHAN, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
1224 SLIGH BLVD, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2018-01-30 |
Name of individual signing |
STEWART KEITH MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-30 |
Name of individual signing |
STEWART KEITH MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
743202755
|
2016-10-05
|
S. KEITH MAHAN, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
1224 SLIGH BLVD, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2016-10-05 |
Name of individual signing |
STEWARD K MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-05 |
Name of individual signing |
STEWARD K MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
743202755
|
2015-10-13
|
S. KEITH MAHAN, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
1224 SLIGH BLVD, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
STEWARD MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-13 |
Name of individual signing |
STEWARD MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. KEITH MAHAN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
743202755
|
2014-10-14
|
S. KEITH MAHAN, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078417241
|
Plan sponsor’s
address |
1224 SLIGH BLVD, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
S KEITH MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
S KEITH MAHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|