JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2020
|
593218909
|
2021-03-22
|
JAMES E. PEWITT, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
4117 SOUNDPOINTE DR, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2021-03-22 |
Name of individual signing |
DANA PEWITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2019
|
593218909
|
2020-10-12
|
JAMES E. PEWITT, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
DANA PEWITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2018
|
593218909
|
2019-03-09
|
JAMES E. PEWITT, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2019-03-09 |
Name of individual signing |
JAMES E. PEWITT, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2017
|
593218909
|
2018-03-05
|
JAMES E. PEWITT, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2018-03-05 |
Name of individual signing |
JAMES E. PEWITT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2016
|
593218909
|
2017-05-18
|
JAMES E. PEWITT, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2017-05-18 |
Name of individual signing |
JAMES E. PEWITT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2015
|
593218909
|
2016-03-20
|
JAMES E. PEWITT, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2016-03-20 |
Name of individual signing |
JAMES E. PEWITT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2014
|
593218909
|
2015-06-08
|
JAMES E. PEWITT, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2015-06-08 |
Name of individual signing |
JAMES E. PEWITT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2013
|
593218909
|
2014-06-16
|
JAMES E. PEWITT, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2014-06-16 |
Name of individual signing |
JAMES E. PEWITT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN
|
2012
|
593218909
|
2013-10-14
|
JAMES E. PEWITT, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8509348222
|
Plan sponsor’s
address |
1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JAMES E. PEWITT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|