BRADLEY W. BARTEL, D. D. S. , P. A. PROFIT SHARING PLAN
|
2016
|
593360409
|
2017-03-28
|
BRADLEY W. BARTEL, D.D.S., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632949200
|
Plan sponsor’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2017-03-28 |
Name of individual signing |
BRADLEY W. BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADLEY W. BARTEL, D. D. S. , P. A. PROFIT SHARING PLAN
|
2015
|
593360409
|
2016-03-28
|
BRADLEY W. BARTEL, D.D.S., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632949200
|
Plan sponsor’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2016-03-28 |
Name of individual signing |
BRADLEY W. BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADLEY W. BARTEL, D. D. S. , P. A. PROFIT SHARING PLAN
|
2014
|
593360409
|
2015-04-14
|
BRADLEY W. BARTEL, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632949200
|
Plan sponsor’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2015-04-14 |
Name of individual signing |
BRADLEY W. BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADLEY W. BARTEL, D.D.S., P.A. PROFIT SHARING PLAN
|
2013
|
593360409
|
2014-05-07
|
BRADLEY W. BARTEL, D.D.S., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632949200
|
Plan sponsor’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2014-05-07 |
Name of individual signing |
BRADLEY W. BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADLEY W. BARTEL, D.D.S., P.A. PROFIT SHARING PLAN
|
2012
|
593360409
|
2013-04-24
|
BRADLEY W. BARTEL, D.D.S., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632949200
|
Plan sponsor’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2013-04-24 |
Name of individual signing |
BRADLEY W. BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADLEY W. BARTEL, D.D.S., P.A. PROFIT SHARING PLAN
|
2011
|
593360409
|
2012-03-09
|
BRADLEY W. BARTEL, D.D.S., P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632949200
|
Plan sponsor’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880
|
Plan administrator’s name and address
Administrator’s EIN |
593360409 |
Plan administrator’s name |
BRADLEY W. BARTEL, D.D.S., P.A. |
Plan administrator’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880 |
Administrator’s telephone number |
8632949200 |
Signature of
Role |
Plan administrator |
Date |
2012-03-09 |
Name of individual signing |
BRADLEY W. BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADLEY W. BARTEL, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
593360409
|
2011-06-29
|
BRADLEY W. BARTEL, D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632949200
|
Plan sponsor’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880
|
Plan administrator’s name and address
Administrator’s EIN |
593360409 |
Plan administrator’s name |
BRADLEY W. BARTEL, D.D.S., P.A. |
Plan administrator’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880 |
Administrator’s telephone number |
8632949200 |
Signature of
Role |
Plan administrator |
Date |
2011-06-29 |
Name of individual signing |
SUSAN BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADLEY W. BARTEL, D.D.S., P.A. PROFIT SHARING PLAN
|
2009
|
593360409
|
2010-10-08
|
BRADLEY W. BARTEL, D.D.S., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632949200
|
Plan sponsor’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880
|
Plan administrator’s name and address
Administrator’s EIN |
593360409 |
Plan administrator’s name |
BRADLEY W. BARTEL, D.D.S., P.A. |
Plan administrator’s
address |
150 AVENUE A, S.E., WINTER HAVEN, FL, 33880 |
Administrator’s telephone number |
8632949200 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
SUSAN BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
SUSAN BARTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|