|
PRECISION DENTAL, P.A. 401(K) PLAN
|
2012
|
743230724
|
2013-06-14
|
PRECISION DENTAL, P.A.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4073303801
|
| Plan sponsor’s
address |
114 TIMBERLACHEN CIRCLE, LAKE MARY, FL, 32746
|
Plan administrator’s name and address
| Administrator’s EIN |
743230724 |
| Plan administrator’s name |
PRECISION DENTAL, P.A. |
| Plan administrator’s
address |
114 TIMBERLACHEN CIRCLE, LAKE MARY, FL, 32746 |
| Administrator’s telephone number |
4073303801 |
Signature of
| Role |
Plan administrator |
| Date |
2013-06-14 |
| Name of individual signing |
DEORAJ LALL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRECISION DENTAL, P.A. 401(K) PLAN
|
2011
|
743230724
|
2012-08-13
|
PRECISION DENTAL, P.A.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4073303801
|
| Plan sponsor’s
address |
114 TIMBERLACHEN CIRCLE, LAKE MARY, FL, 32746
|
Plan administrator’s name and address
| Administrator’s EIN |
743230724 |
| Plan administrator’s name |
PRECISION DENTAL, P.A. |
| Plan administrator’s
address |
114 TIMBERLACHEN CIRCLE, LAKE MARY, FL, 32746 |
| Administrator’s telephone number |
4073303801 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-13 |
| Name of individual signing |
ELLIS FULLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRECISION DENTAL, P.A. 401(K) PLAN
|
2010
|
743230724
|
2011-09-28
|
PRECISION DENTAL, P.A.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4073303801
|
| Plan sponsor’s
address |
114 TIMBERLACHEN CIRCLE, LAKE MARY, FL, 32746
|
Plan administrator’s name and address
| Administrator’s EIN |
743230724 |
| Plan administrator’s name |
PRECISION DENTAL, P.A. |
| Plan administrator’s
address |
114 TIMBERLACHEN CIRCLE, LAKE MARY, FL, 32746 |
| Administrator’s telephone number |
4073303801 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-28 |
| Name of individual signing |
ELLIS FULLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
