WILLIAM F. BENNETT, M.D., P.A. 401(K) P/S PLAN
|
2020
|
650579328
|
2021-07-29
|
WILLIAM F. BENNETT, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9419535509
|
Plan sponsor’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
WILLIAM BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM F. BENNETT, M.D., P.A. 401(K) P/S PLAN
|
2020
|
650579328
|
2021-04-09
|
WILLIAM F. BENNETT, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9419535509
|
Plan sponsor’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239
|
Plan administrator’s name and address
Administrator’s EIN |
650579328 |
Plan administrator’s name |
WILLIAM F. BENNETT, M.D., P.A. |
Plan administrator’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239 |
Administrator’s telephone number |
9419535509 |
Signature of
Role |
Plan administrator |
Date |
2021-04-09 |
Name of individual signing |
WILLIAM BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM F. BENNETT, M.D., P.A. 401(K) P/S PLAN
|
2019
|
650579328
|
2021-04-07
|
WILLIAM F. BENNETT, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9419535509
|
Plan sponsor’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239
|
Plan administrator’s name and address
Administrator’s EIN |
650579328 |
Plan administrator’s name |
WILLIAM F. BENNETT, M.D., P.A. |
Plan administrator’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239 |
Administrator’s telephone number |
9419535509 |
Signature of
Role |
Plan administrator |
Date |
2021-04-07 |
Name of individual signing |
WILLIAM BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM F. BENNETT, M.D., P.A. 401(K) P/S PLAN
|
2018
|
650579328
|
2019-11-06
|
WILLIAM F. BENNETT, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9419535509
|
Plan sponsor’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239
|
Plan administrator’s name and address
Administrator’s EIN |
650579328 |
Plan administrator’s name |
WILLIAM F. BENNETT, M.D., P.A. |
Plan administrator’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239 |
Administrator’s telephone number |
9419535509 |
Signature of
Role |
Plan administrator |
Date |
2019-11-06 |
Name of individual signing |
WILLIAM BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM F. BENNETT, M.D., P.A. 401(K) P/S PLAN
|
2017
|
650579328
|
2018-10-08
|
WILLIAM F. BENNETT, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9419535509
|
Plan sponsor’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239
|
Plan administrator’s name and address
Administrator’s EIN |
650579328 |
Plan administrator’s name |
WILLIAM F. BENNETT, M.D., P.A. |
Plan administrator’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239 |
Administrator’s telephone number |
9419535509 |
Signature of
Role |
Plan administrator |
Date |
2018-10-08 |
Name of individual signing |
WILLIAM BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM F. BENNETT, M.D., P.A. 401(K) P/S PLAN
|
2016
|
650579328
|
2017-10-12
|
WILLIAM F. BENNETT, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9419535509
|
Plan sponsor’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239
|
Plan administrator’s name and address
Administrator’s EIN |
650579328 |
Plan administrator’s name |
WILLIAM F. BENNETT, M.D., P.A. |
Plan administrator’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239 |
Administrator’s telephone number |
9419535509 |
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
WILLIAM BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM F. BENNETT, M.D., P.A. 401(K) P/S PLAN
|
2015
|
650579328
|
2016-10-13
|
WILLIAM F. BENNETT, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9419535509
|
Plan sponsor’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239
|
Plan administrator’s name and address
Administrator’s EIN |
650579328 |
Plan administrator’s name |
WILLIAM F. BENNETT, M.D., P.A. |
Plan administrator’s
address |
1250 S TAMIAMI TRL STE 303, SARASOTA, FL, 34239 |
Administrator’s telephone number |
9419535509 |
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
WILLIAM BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|