FLORIDA SMILE STUDIO 401(K) RETIREMENT PLAN
|
2023
|
462393697
|
2024-10-13
|
EAST BROWARD DENTAL, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549052000
|
Plan sponsor’s
address |
1212 EAST BROWARD BLVD., SUITE 200, FORT LAUDERDALE, FL, 33301
|
Signature of
Role |
Plan administrator |
Date |
2024-10-13 |
Name of individual signing |
BURAK TASKONAK DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SMILE STUDIO 401(K) RETIREMENT PLAN
|
2022
|
462393697
|
2023-10-06
|
EAST BROWARD DENTAL, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549052000
|
Plan sponsor’s
address |
1212 EAST BROWARD BLVD., SUITE 200, FORT LAUDERDALE, FL, 33301
|
Signature of
Role |
Plan administrator |
Date |
2023-10-06 |
Name of individual signing |
BURAK TASKONAK DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SMILE STUDIO 401(K) RETIREMENT PLAN
|
2021
|
462393697
|
2022-07-27
|
EAST BROWARD DENTAL, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549052000
|
Plan sponsor’s
address |
1212 EAST BROWARD BLVD., SUITE 200, FORT LAUDERDALE, FL, 33301
|
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
BURAK TASKONAK DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SMILE STUDIO 401(K) RETIREMENT PLAN
|
2020
|
462393697
|
2021-10-13
|
EAST BROWARD DENTAL, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549052000
|
Plan sponsor’s
address |
1212 EAST BROWARD BLVD., SUITE 200, FORT LAUDERDALE, FL, 33301
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
BURAK TASKONAK DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SMILE STUDIO 401(K) RETIREMENT PLAN
|
2019
|
452393697
|
2020-09-24
|
EAST BROWARD DENTAL, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549052000
|
Plan sponsor’s
address |
1212 EAST BROWARD BLVD., SUITE 200, FORT LAUDERDALE, FL, 33301
|
Signature of
Role |
Plan administrator |
Date |
2020-09-24 |
Name of individual signing |
BURAK TASKONAK DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SMILE STUDIO 401(K) RETIREMENT PLAN
|
2019
|
462393697
|
2021-09-22
|
EAST BROWARD DENTAL, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9549052000
|
Plan sponsor’s
address |
1212 EAST BROWARD BLVD., SUITE 200, FORT LAUDERDALE, FL, 33301
|
Signature of
Role |
Plan administrator |
Date |
2021-09-22 |
Name of individual signing |
BURAK TASKONAK DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|