PALM VALLEY FAMILY DENTISTRY CASH BALANCE PLAN
|
2023
|
462201644
|
2024-09-25
|
PALM VALLEY FAMILY DENTISTRY, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048342736
|
Plan sponsor’s
address |
3791 PALM VALLEY ROAD, STE. 205, PONTE VEDRA BEACH, FL, 32082
|
|
PALM VALLEY FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
462201644
|
2023-07-29
|
PALM VALLEY FAMILY DENTISTRY, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048342736
|
Plan sponsor’s
address |
3791 PALM VALLEY ROAD, STE. 205, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2023-07-29 |
Name of individual signing |
KEVIN CHEEZUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALM VALLEY FAMILY DENTISTRY CASH BALANCE PLAN
|
2022
|
462201644
|
2023-10-14
|
PALM VALLEY FAMILY DENTISTRY, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048342736
|
Plan sponsor’s
address |
3791 PALM VALLEY ROAD, STE. 205, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2023-10-14 |
Name of individual signing |
KEVIN CHEEZUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALM VALLEY FAMILY DENTISTRY CASH BALANCE PLAN
|
2021
|
462201644
|
2022-10-13
|
PALM VALLEY FAMILY DENTISTRY, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048342736
|
Plan sponsor’s
address |
3791 PALM VALLEY ROAD, STE. 205, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
KEVIN CHEEZUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALM VALLEY FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
462201644
|
2022-10-13
|
PALM VALLEY FAMILY DENTISTRY, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048342736
|
Plan sponsor’s
address |
3791 PALM VALLEY ROAD, STE. 205, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
KEVIN CHEEZUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALM VALLEY FAMILY DENTISTRY CASH BALANCE PLAN
|
2020
|
462201644
|
2021-07-22
|
PALM VALLEY FAMILY DENTISTRY, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048342736
|
Plan sponsor’s
address |
3791 PALM VALLEY ROAD, STE. 205, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
KEVIN CHEEZUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALM VALLEY FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
462201644
|
2021-07-22
|
PALM VALLEY FAMILY DENTISTRY, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048342736
|
Plan sponsor’s
address |
3791 PALM VALLEY ROAD, STE. 205, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
KEVIN CHEEZUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|