SANDRA BRENER DDS P.A. 401(K) PLAN
|
2023
|
270477297
|
2024-09-26
|
SANDRA BRENER DDS P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544413777
|
Plan sponsor’s
address |
9720 STIRLING ROAD, SUITE 100, COOPER CITY, FL, 33024
|
Signature of
Role |
Plan administrator |
Date |
2024-09-26 |
Name of individual signing |
ADRIAN SICORSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA BRENER DDS P.A. 401(K) PLAN
|
2022
|
270477297
|
2023-10-03
|
SANDRA BRENER DDS P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544413777
|
Plan sponsor’s
address |
9720 STIRLING ROAD, SUITE 100, COOPER CITY, FL, 33024
|
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
ADRIAN SICORSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA BRENER DDS P.A. 401(K) PLAN
|
2021
|
270477297
|
2022-09-14
|
SANDRA BRENER DDS P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544413777
|
Plan sponsor’s
address |
9720 STIRLING ROAD, SUITE 100, COOPER CITY, FL, 33024
|
Signature of
Role |
Plan administrator |
Date |
2022-09-14 |
Name of individual signing |
ADRIAN SICORSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA BRENER DDS P.A. 401(K) PLAN
|
2020
|
270477297
|
2021-09-30
|
SANDRA BRENER DDS P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544413777
|
Plan sponsor’s
address |
9720 STIRLING ROAD, SUITE 100, COOPER CITY, FL, 33024
|
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
ADRIAN SICORSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA BRENER DDS P.A. 401(K) PLAN
|
2019
|
270477297
|
2020-10-09
|
SANDRA BRENER DDS P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544413777
|
Plan sponsor’s
address |
9720 STIRLING ROAD, SUITE 100, COOPER CITY, FL, 33024
|
Signature of
Role |
Plan administrator |
Date |
2020-10-09 |
Name of individual signing |
ADRIAN SICORSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA BRENER DDS P.A. 401(K) PLAN
|
2018
|
270477297
|
2019-07-03
|
SANDRA BRENER DDS P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544413777
|
Plan sponsor’s
address |
9720 STIRLING ROAD, SUITE 100, COOPER CITY, FL, 33024
|
Signature of
Role |
Plan administrator |
Date |
2019-07-03 |
Name of individual signing |
ADRIAN SICORSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|