STEPHEN M. KOBERNICK, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593157529
|
2014-07-28
|
STEPHEN M. KOBERNICK, D.D.S., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275862681
|
Plan sponsor’s
address |
1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
|
Plan administrator’s name and address
Administrator’s EIN |
593157529 |
Plan administrator’s name |
STEPHEN M. KOBERNICK, D.D.S., P.A. |
Plan administrator’s
address |
1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756 |
Administrator’s telephone number |
7275862681 |
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
DEBORAH KOBERNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN M. KOBERNICK, D.D.S., P.A. 401K PROFIT SHARING PLAN
|
2013
|
593157529
|
2014-06-24
|
STEPHEN M. KOBERNICK, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275862681
|
Plan sponsor’s
address |
1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
|
Plan administrator’s name and address
Administrator’s EIN |
593157529 |
Plan administrator’s name |
STEPHEN M. KOBERNICK, D.D.S., P.A. |
Plan administrator’s
address |
1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756 |
Administrator’s telephone number |
7275862681 |
Signature of
Role |
Plan administrator |
Date |
2014-06-24 |
Name of individual signing |
DEBBIE KOBERNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN M. KOBERNICK, D.D.S., P.A. 401K PROFIT SHARING PLAN
|
2012
|
593157529
|
2013-10-14
|
STEPHEN M. KOBERNICK, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275862681
|
Plan sponsor’s
address |
1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
|
Plan administrator’s name and address
Administrator’s EIN |
593157529 |
Plan administrator’s name |
STEPHEN M. KOBERNICK, D.D.S., P.A. |
Plan administrator’s
address |
1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756 |
Administrator’s telephone number |
7275862681 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
STEPHEN M. KOBERNICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN M. KOBERNICK, D.D.S., P.A. 401K PROFIT SHARING PLAN
|
2011
|
593157529
|
2012-09-27
|
STEPHEN M. KOBERNICK, D.D.S., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275862681
|
Plan sponsor’s
address |
1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
|
Plan administrator’s name and address
Administrator’s EIN |
593157529 |
Plan administrator’s name |
STEPHEN M. KOBERNICK, D.D.S., P.A. |
Plan administrator’s
address |
1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756 |
Administrator’s telephone number |
7275862681 |
Signature of
Role |
Plan administrator |
Date |
2012-09-27 |
Name of individual signing |
STEPHEN M. KOBERNICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN M. KOBERNICK, D.D.S., P.A. 401K PROFIT SHARING PLAN
|
2010
|
593157529
|
2011-03-22
|
STEPHEN M. KOBERNICK, D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275862681
|
Plan sponsor’s
address |
1601 SOUTH HIGHLAND AVENUE, SUITE E, CLEARWATER, FL, 337561344
|
Plan administrator’s name and address
Administrator’s EIN |
593157529 |
Plan administrator’s name |
STEPHEN M. KOBERNICK, D.D.S., P.A. |
Plan administrator’s
address |
1601 SOUTH HIGHLAND AVENUE, SUITE E, CLEARWATER, FL, 337561344 |
Administrator’s telephone number |
7275862681 |
Signature of
Role |
Plan administrator |
Date |
2011-03-22 |
Name of individual signing |
STEPHEN M. KOBERNICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN M. KOBERNICK, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
593157529
|
2010-10-02
|
STEPHEN M. KOBERNICK, D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275862681
|
Plan sponsor’s
address |
1601 SOUTH HIGHLAND AVENUE, SUITE E, CLEARWATER, FL, 337561344
|
Plan administrator’s name and address
Administrator’s EIN |
593157529 |
Plan administrator’s name |
STEPHEN M. KOBERNICK, D.D.S., P.A. |
Plan administrator’s
address |
1601 SOUTH HIGHLAND AVENUE, SUITE E, CLEARWATER, FL, 337561344 |
Administrator’s telephone number |
7275862681 |
Signature of
Role |
Plan administrator |
Date |
2010-10-02 |
Name of individual signing |
STEPHEN M. KOBERNICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|