FLORIDA ORAL SURGERY 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
262928928
|
2021-06-29
|
FLORIDA ORAL SURGERY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073404159
|
Plan sponsor’s
address |
205 BELLAGIO CIRCLE, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2021-06-29 |
Name of individual signing |
CHARLES DEWILD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA ORAL SURGERY 401(K) PROFIT SHARING PLAN &
|
2019
|
262928928
|
2020-07-08
|
FLORIDA ORAL SURGERY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073404159
|
Plan sponsor’s
address |
205 BELLAGIO CIRCLE, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2020-07-08 |
Name of individual signing |
CHARLES DEWILD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA ORAL SURGERY 401(K) PROFIT SHARING PLAN &
|
2018
|
262928928
|
2019-07-10
|
FLORIDA ORAL SURGERY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073303250
|
Plan sponsor’s
address |
205 BELLAGIO CIRCLE, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2019-07-10 |
Name of individual signing |
CHARLES DEWILD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA ORAL SURGERY 401(K) PROFIT SHARING PLAN &
|
2017
|
262928928
|
2018-08-03
|
FLORIDA ORAL SURGERY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073303250
|
Plan sponsor’s
address |
205 BELLAGIO CIRCLE, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2018-08-03 |
Name of individual signing |
CHARLES DEWILD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA ORAL SURGERY 401(K) PROFIT SHARING PLAN &
|
2016
|
262928928
|
2017-06-29
|
FLORIDA ORAL SURGERY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073303250
|
Plan sponsor’s
address |
205 BELLAGIO CIRCLE, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2017-06-29 |
Name of individual signing |
CHARLES DEWILD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA ORAL SURGERY 401(K) PROFIT SHARING PLAN &
|
2015
|
262928928
|
2016-07-15
|
FLORIDA ORAL SURGERY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073303250
|
Plan sponsor’s
address |
205 BELLAGIO CIRCLE, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
CHARLES DEWILD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA ORAL SURGERY 401K PROFIT SHARING PLAN
|
2014
|
262928928
|
2015-10-07
|
FLORIDA ORAL SURGERY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073303250
|
Plan sponsor’s
address |
205 BELLAGIO CIRCLE, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
CHARLES DEWILD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA ORAL SURGERY 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
262928928
|
2014-06-26
|
FLORIDA ORAL SURGERY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4073404159
|
Plan sponsor’s
address |
205 BELLAGIO CIRCLE, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2014-06-25 |
Name of individual signing |
CHARLES DEWILD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|