|
VITALIZE DENTAL 401(K) PLAN
|
2023
|
825208566
|
2024-07-03
|
NEALESIA, P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047301420
|
| Plan sponsor’s
address |
254 EVEREST LANE, SUITE 3, ST. JOHNS, FL, 32259
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2024-07-02 |
| Name of individual signing |
QIAN LIU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VITALIZE DENTAL 401(K) PLAN
|
2022
|
825208566
|
2023-05-28
|
NEALESIA, P.A.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047301420
|
| Plan sponsor’s
address |
254 EVEREST LANE, SUITE 3, ST. JOHNS, FL, 32259
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2023-05-28 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
