MARION C. ELDRIDGE, D.M.D., P.A. RETIREMENT PLAN
|
2011
|
593364886
|
2012-04-25
|
MARION C. ELDRIDGE, D.M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042606111
|
Plan sponsor’s
address |
12078 SAN JOSE BLVD, STE 3, JACKSONVILLE, FL, 32223
|
Plan administrator’s name and address
Administrator’s EIN |
593364886 |
Plan administrator’s name |
MARION C. ELDRIDGE, D.M.D., P.A. |
Plan administrator’s
address |
12078 SAN JOSE BLVD, STE 3, JACKSONVILLE, FL, 32223 |
Administrator’s telephone number |
9042606111 |
Signature of
Role |
Plan administrator |
Date |
2012-04-24 |
Name of individual signing |
MARION ELDRIDGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-24 |
Name of individual signing |
MARION ELDRIDGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARION C. ELDRIDGE, D.M.D., P.A. RETIREMENT PLAN
|
2010
|
593364886
|
2011-07-08
|
MARION C. ELDRIDGE, D.M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042606111
|
Plan sponsor’s
address |
12078 SAN JOSE BLVD, STE 3, JACKSONVILLE, FL, 32223
|
Plan administrator’s name and address
Administrator’s EIN |
593364886 |
Plan administrator’s name |
MARION C. ELDRIDGE, D.M.D., P.A. |
Plan administrator’s
address |
12078 SAN JOSE BLVD, STE 3, JACKSONVILLE, FL, 32223 |
Administrator’s telephone number |
9042606111 |
Signature of
Role |
Plan administrator |
Date |
2011-07-01 |
Name of individual signing |
MARION ELDRIDGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-01 |
Name of individual signing |
MARION ELDRIDGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARION C. ELDRIDGE, D.M.D., P.A. RETIREMENT PLAN
|
2009
|
593364886
|
2010-07-16
|
MARION C. ELDRIDGE, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9042606111
|
Plan sponsor’s
address |
12078 SAN JOSE BLVD, STE 3, JACKSONVILLE, FL, 32223
|
Plan administrator’s name and address
Administrator’s EIN |
593364886 |
Plan administrator’s name |
MARION C. ELDRIDGE, D.M.D., P.A. |
Plan administrator’s
address |
12078 SAN JOSE BLVD, STE 3, JACKSONVILLE, FL, 32223 |
Administrator’s telephone number |
9042606111 |
Signature of
Role |
Plan administrator |
Date |
2010-07-16 |
Name of individual signing |
MARION COLUMBUS ELDRIDGE, JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-16 |
Name of individual signing |
MARION COLUMBUS ELDRIDGE, JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|