JOHN A NELSON DDS PA 401(K) P/S PLAN
|
2023
|
264168166
|
2024-10-10
|
JOHN A NELSON DDS PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3055986070
|
Plan sponsor’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
|
Signature of
Role |
Plan administrator |
Date |
2024-10-10 |
Name of individual signing |
JOHN NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A NELSON DDS PA 401(K) P/S PLAN
|
2020
|
264168166
|
2021-10-08
|
JOHN A NELSON DDS PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3055986070
|
Plan sponsor’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
|
Plan administrator’s name and address
Administrator’s EIN |
264168166 |
Plan administrator’s name |
JOHN A NELSON DDS PA |
Plan administrator’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137 |
Administrator’s telephone number |
3055986070 |
Signature of
Role |
Plan administrator |
Date |
2021-10-08 |
Name of individual signing |
JOHN A. NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A NELSON DDS PA 401(K) P/S PLAN
|
2019
|
264168166
|
2020-10-12
|
JOHN A NELSON DDS PA
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3055986070
|
Plan sponsor’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
|
Plan administrator’s name and address
Administrator’s EIN |
264168166 |
Plan administrator’s name |
JOHN A NELSON DDS PA |
Plan administrator’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137 |
Administrator’s telephone number |
3055986070 |
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
JAMILE RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A NELSON DDS PA 401(K) P/S PLAN
|
2018
|
264168166
|
2019-10-10
|
JOHN A NELSON DDS PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3055986070
|
Plan sponsor’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
|
Plan administrator’s name and address
Administrator’s EIN |
264168166 |
Plan administrator’s name |
JOHN A NELSON DDS PA |
Plan administrator’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137 |
Administrator’s telephone number |
3055986070 |
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
ALYSON WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A NELSON DDS PA 401(K) P/S PLAN
|
2017
|
264168166
|
2018-07-23
|
JOHN A NELSON DDS PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3055986070
|
Plan sponsor’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
|
Plan administrator’s name and address
Administrator’s EIN |
264168166 |
Plan administrator’s name |
JOHN A NELSON DDS PA |
Plan administrator’s
address |
3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137 |
Administrator’s telephone number |
3055986070 |
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
JOHN A. NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|