|
HARRY D. BERKOWITZ, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2012
|
650635012
|
2013-05-28
|
HARRY D. BERKOWITZ, D.M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9549217339
|
| Plan sponsor’s
address |
3801 HOLLYWOOD BLVD., SUITE 225, HOLLYWOOD, FL, 33020
|
Signature of
| Role |
Plan administrator |
| Date |
2013-05-28 |
| Name of individual signing |
HARRY D. BERKOWITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARRY D. BERKOWITZ, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2011
|
650635012
|
2012-07-27
|
HARRY D. BERKOWITZ, D.M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9549217339
|
| Plan sponsor’s
address |
3801 HOLLYWOOD BLVD., SUITE 225, HOLLYWOOD, FL, 33020
|
Plan administrator’s name and address
| Administrator’s EIN |
650635012 |
| Plan administrator’s name |
HARRY D. BERKOWITZ, D.M.D., P.A. |
| Plan administrator’s
address |
3801 HOLLYWOOD BLVD., SUITE 225, HOLLYWOOD, FL, 33020 |
| Administrator’s telephone number |
9549217339 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-27 |
| Name of individual signing |
HARRY D. BERKOWITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARRY D. BERKOWITZ, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2010
|
650635012
|
2011-10-06
|
HARRY D. BERKOWITZ, D.M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9549217339
|
| Plan sponsor’s
address |
3801 HOLLYWOOD BLVD., SUITE 225, HOLLYWOOD, FL, 33020
|
Plan administrator’s name and address
| Administrator’s EIN |
650635012 |
| Plan administrator’s name |
HARRY D. BERKOWITZ, D.M.D., P.A. |
| Plan administrator’s
address |
3801 HOLLYWOOD BLVD., SUITE 225, HOLLYWOOD, FL, 33020 |
| Administrator’s telephone number |
9549217339 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
HARRY D. BERKOWITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARRY D. BERKOWITZ, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2009
|
650635012
|
2010-09-24
|
HARRY D. BERKOWITZ, D.M.D., P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9549217339
|
| Plan sponsor’s
address |
3801 HOLLYWOOD BLVD., SUITE 225, HOLLYWOOD, FL, 33020
|
Plan administrator’s name and address
| Administrator’s EIN |
650635012 |
| Plan administrator’s name |
HARRY D. BERKOWITZ, D.M.D., P.A. |
| Plan administrator’s
address |
3801 HOLLYWOOD BLVD., SUITE 225, HOLLYWOOD, FL, 33020 |
| Administrator’s telephone number |
9549217339 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-24 |
| Name of individual signing |
HARRY BERKOWITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
