DONALD J. RADOMSKI, D.M.D., P.A. PENSION PLAN
|
2013
|
593222300
|
2014-12-29
|
DONALD J. RADOMSKI, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348220
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451
|
Signature of
Role |
Plan administrator |
Date |
2014-12-29 |
Name of individual signing |
DONALD J. RADOMSKI, DMD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONALD J. RADOMSKI, D.M.D., P.A. PENSION PLAN
|
2013
|
593222300
|
2014-10-07
|
DONALD J. RADOMSKI, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348220
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451
|
Plan administrator’s name and address
Administrator’s EIN |
593222300 |
Plan administrator’s name |
DONALD J. RADOMSKI, D.M.D., P.A. |
Plan administrator’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451 |
Administrator’s telephone number |
8509348220 |
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
DONALD J. RADOMSKI, DMD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONALD J. RADOMSKI, D.M.D., P.A. PENSION PLAN
|
2012
|
593222300
|
2013-10-04
|
DONALD J. RADOMSKI, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348220
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451
|
Plan administrator’s name and address
Administrator’s EIN |
593222300 |
Plan administrator’s name |
DONALD J. RADOMSKI, D.M.D., P.A. |
Plan administrator’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451 |
Administrator’s telephone number |
8509348220 |
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
DONALD J. RADOMSKI, DMD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONALD J. RADOMSKI, D.M.D., P.A. PENSION PLAN
|
2011
|
593222300
|
2012-10-04
|
DONALD J. RADOMSKI, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348220
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451
|
Plan administrator’s name and address
Administrator’s EIN |
593222300 |
Plan administrator’s name |
DONALD J. RADOMSKI, D.M.D., P.A. |
Plan administrator’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451 |
Administrator’s telephone number |
8509348220 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
DONALD J. RADOMSKI, DMD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONALD J. RADOMSKI, D.M.D., P.A. PENSION PLAN
|
2010
|
593222300
|
2011-09-14
|
DONALD J. RADOMSKI, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348220
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451
|
Plan administrator’s name and address
Administrator’s EIN |
593222300 |
Plan administrator’s name |
DONALD J. RADOMSKI, D.M.D., P.A. |
Plan administrator’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451 |
Administrator’s telephone number |
8509348220 |
Signature of
Role |
Plan administrator |
Date |
2011-09-14 |
Name of individual signing |
DONALD J RADOMSKI DMD PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONALD J. RADOMSKI, D.M.D., P.A. PENSION PLAN
|
2009
|
593222300
|
2010-10-04
|
DONALD J. RADOMSKI, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348220
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451
|
Plan administrator’s name and address
Administrator’s EIN |
593222300 |
Plan administrator’s name |
DONALD J. RADOMSKI, D.M.D., P.A. |
Plan administrator’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451 |
Administrator’s telephone number |
8509348220 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
DR. DONALD J RADOMSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONALD J. RADOMSKI, D.M.D., P.A. PENSION PLAN
|
2009
|
593222300
|
2010-10-04
|
DONALD J. RADOMSKI, D.M.D., P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348220
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451
|
Plan administrator’s name and address
Administrator’s EIN |
593222300 |
Plan administrator’s name |
DONALD J. RADOMSKI, D.M.D., P.A. |
Plan administrator’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 325633451 |
Administrator’s telephone number |
8509348220 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
DR. DONALD J RADOMSKI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|