HILL DERM ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
455395231
|
2016-12-05
|
HILL DERM ASSOCIATES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7703312477
|
Plan sponsor’s
address |
2650 SOUTH MELLONVILLE AVE., SANFORD, FL, 32773
|
Signature of
Role |
Plan administrator |
Date |
2016-12-05 |
Name of individual signing |
SHARON DUDASH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HILL DERM ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
455395231
|
2016-08-24
|
HILL DERM ASSOCIATES, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4073231887
|
Plan sponsor’s
address |
2650 SOUTH MELLONVILLE AVE., SANFORD, FL, 32773
|
Signature of
Role |
Plan administrator |
Date |
2016-08-24 |
Name of individual signing |
SHARON DUDASH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HILL DERM ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
455395231
|
2015-09-10
|
HILL DERM ASSOCIATES, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7703312477
|
Plan sponsor’s
address |
1631 ROCK SPRINGS ROAD, #361, APOPKA, FL, 32712
|
Plan administrator’s name and address
Administrator’s EIN |
455395231 |
Plan administrator’s name |
HILL DERM ASSOCIATES, INC. |
Plan administrator’s
address |
1631 ROCK SPRINGS ROAD, #361, APOPKA, FL, 32712 |
Administrator’s telephone number |
7703312477 |
Signature of
Role |
Plan administrator |
Date |
2015-09-10 |
Name of individual signing |
SHARON DUDASH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HILL DERM ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
455395231
|
2014-06-27
|
HILL DERM ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7703312477
|
Plan sponsor’s
address |
1631 ROCK SPRINGS ROAD, #361, APOPKA, FL, 32712
|
Plan administrator’s name and address
Administrator’s EIN |
455395231 |
Plan administrator’s name |
HILL DERM ASSOCIATES, INC. |
Plan administrator’s
address |
1631 ROCK SPRINGS ROAD, #361, APOPKA, FL, 32712 |
Administrator’s telephone number |
7703312477 |
Signature of
Role |
Plan administrator |
Date |
2014-06-27 |
Name of individual signing |
LOIS DROTAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HILL DERM ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
455395231
|
2013-06-12
|
HILL DERM ASSOCIATES, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7703312477
|
Plan sponsor’s
address |
1631 ROCK SPRINGS ROAD, #361, APOPKA, FL, 32712
|
Plan administrator’s name and address
Administrator’s EIN |
455395231 |
Plan administrator’s name |
HILL DERM ASSOCIATES, INC. |
Plan administrator’s
address |
1631 ROCK SPRINGS ROAD, #361, APOPKA, FL, 32712 |
Administrator’s telephone number |
7703312477 |
Signature of
Role |
Plan administrator |
Date |
2013-06-12 |
Name of individual signing |
LOIS DROTAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|