DOROTHY A. TIBERII, D.M.D., P.A. PROFIT SHARING PLAN
|
2014
|
650493856
|
2015-07-01
|
DOROTHY A. TIBERII, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9419278287
|
Plan sponsor’s
address |
7162 BENEVA ROAD, SARASOTA, FL, 34328
|
Plan administrator’s name and address
Administrator’s EIN |
650493856 |
Plan administrator’s name |
DOROTHY A. TIBERII, D.M.D., P.A. |
Plan administrator’s
address |
7162 BENEVA ROAD, SARASOTA, FL, 34328 |
Administrator’s telephone number |
9419278287 |
Signature of
Role |
Plan administrator |
Date |
2015-07-01 |
Name of individual signing |
DOROTHY A TIBERII |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOROTHY A. TIBERII, D.M.D., P.A. PROFIT SHARING PLAN
|
2013
|
650493856
|
2014-07-24
|
DOROTHY A. TIBERII, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9419278287
|
Plan sponsor’s
address |
7162 BENEVA ROAD, SARASOTA, FL, 34328
|
Plan administrator’s name and address
Administrator’s EIN |
650493856 |
Plan administrator’s name |
DOROTHY A. TIBERII, D.M.D., P.A. |
Plan administrator’s
address |
7162 BENEVA ROAD, SARASOTA, FL, 34328 |
Administrator’s telephone number |
9419278287 |
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
DOROTHY A TIBERII |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOROTHY A. TIBERII, D.M.D., P.A. PROFIT SHARING PLAN
|
2012
|
650493856
|
2013-09-18
|
DOROTHY A. TIBERII, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9419278287
|
Plan sponsor’s
address |
7162 BENEVA ROAD, SARASOTA, FL, 34328
|
Plan administrator’s name and address
Administrator’s EIN |
650493856 |
Plan administrator’s name |
DOROTHY A. TIBERII, D.M.D., P.A. |
Plan administrator’s
address |
7162 BENEVA ROAD, SARASOTA, FL, 34328 |
Administrator’s telephone number |
9419278287 |
Signature of
Role |
Plan administrator |
Date |
2013-09-18 |
Name of individual signing |
DOROTHY A TIBERII |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOROTHY A. TIBERII, D.M.D., P.A. PROFIT SHARING PLAN
|
2009
|
650493856
|
2010-03-03
|
DOROTHY A. TIBERII, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9419278287
|
Plan sponsor’s
address |
7162 BENEVA ROAD, SARASOTA, FL, 34238
|
Plan administrator’s name and address
Administrator’s EIN |
650493856 |
Plan administrator’s name |
DOROTHY A. TIBERII, D.M.D., P.A. |
Plan administrator’s
address |
7162 BENEVA ROAD, SARASOTA, FL, 34238 |
Administrator’s telephone number |
9419278287 |
Signature of
Role |
Plan administrator |
Date |
2010-03-03 |
Name of individual signing |
DOROTHY A TIBERII |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-03-03 |
Name of individual signing |
DOROTHY A TIBERII |
Valid signature |
Filed with authorized/valid electronic signature |
|
|