MYSTIC OAKS 401(K) PLAN
|
2022
|
814785566
|
2023-10-16
|
MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9046992270
|
Plan sponsor’s
address |
3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYSTIC OAKS 401(K) PLAN
|
2022
|
814785566
|
2023-03-08
|
MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9046992270
|
Plan sponsor’s
address |
3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201
|
Signature of
Role |
Plan administrator |
Date |
2023-03-08 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-03-08 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYSTIC OAKS 401(K) PLAN
|
2021
|
814785566
|
2022-07-07
|
MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9046992270
|
Plan sponsor’s
address |
3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201
|
Signature of
Role |
Plan administrator |
Date |
2022-07-07 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-07 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYSTIC OAKS 401(K) PLAN
|
2020
|
814785566
|
2022-07-07
|
MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9046992270
|
Plan sponsor’s
address |
3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201
|
Signature of
Role |
Plan administrator |
Date |
2022-07-07 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-07 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYSTIC OAKS 401(K) PLAN
|
2019
|
814785566
|
2021-03-05
|
MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9046992270
|
Plan sponsor’s
address |
3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201
|
Signature of
Role |
Plan administrator |
Date |
2021-03-05 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-05 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYSTIC OAKS 401(K) PLAN
|
2018
|
814785566
|
2019-07-29
|
MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9046992270
|
Plan sponsor’s
address |
3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201
|
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-29 |
Name of individual signing |
PREMATEE SARWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|