|
PARKWOOD DENTAL 401(K) PLAN
|
2023
|
223405463
|
2024-10-15
|
OSCAR HERNANDEZ, JR. DMD., P.A.
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9417531432
|
| Plan sponsor’s
address |
2620 48TH AVE. WEST, BRADENTON, FL, 34207
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-15 |
| Name of individual signing |
JODIE HERNANDEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PARKWOOD DENTAL 401(K) PLAN
|
2022
|
223405463
|
2023-10-11
|
OSCAR HERNANDEZ, JR. DMD., P.A.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9417531432
|
| Plan sponsor’s
address |
2620 48TH AVE. WEST, BRADENTON, FL, 34207
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-11 |
| Name of individual signing |
MICHAEL VANDERFORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PARKWOOD DENTAL 401(K) PLAN
|
2021
|
223405463
|
2022-07-22
|
OSCAR HERNANDEZ, JR. DMD., P.A.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9417531432
|
| Plan sponsor’s
address |
5315 4TH AVE CIR E, BRADENTON, FL, 34208
|
|
|
PARKWOOD DENTAL 401(K) PLAN
|
2020
|
223405463
|
2021-10-14
|
OSCAR HERNANDEZ, JR. DMD., P.A.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9417531432
|
| Plan sponsor’s
address |
5315 4TH AVE CIR E, BRADENTON, FL, 34208
|
Plan administrator’s name and address
| Administrator’s EIN |
810733839 |
| Plan administrator’s name |
FIDUCIARY SHIELD |
| Plan administrator’s
address |
2328 MANATEE AVENUE WEST, SUITE 100, BRADENTON, FL, 34205 |
| Administrator’s telephone number |
9417614015 |
|
|
PARKWOOD DENTAL 401(K) PLAN
|
2019
|
223405463
|
2020-07-20
|
OSCAR HERNANDEZ, JR. DMD., P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9417531432
|
| Plan sponsor’s
address |
5315 4TH AVE CIR E, BRADENTON, FL, 34208
|
|
