WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
593398838
|
2017-07-26
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Signature of
Role |
Plan administrator |
Date |
2017-07-26 |
Name of individual signing |
WILLIAM BAXTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593398838
|
2016-10-18
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Signature of
Role |
Plan administrator |
Date |
2016-10-18 |
Name of individual signing |
WILLIAM BAXTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593398838
|
2016-12-19
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Signature of
Role |
Plan administrator |
Date |
2016-12-19 |
Name of individual signing |
WILLIAM BAXTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
593398838
|
2015-10-13
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
WILLIAM BAXTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593398838
|
2014-09-09
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Signature of
Role |
Plan administrator |
Date |
2014-09-09 |
Name of individual signing |
WILLIAM D. BAXTER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
593398838
|
2013-10-09
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
WILLIAM D. BAXTER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593398838
|
2012-07-12
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Plan administrator’s name and address
Administrator’s EIN |
593398838 |
Plan administrator’s name |
WILLIAM D. BAXTER, D.M.D., P.A. |
Plan administrator’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218 |
Administrator’s telephone number |
9047514958 |
Signature of
Role |
Plan administrator |
Date |
2012-07-12 |
Name of individual signing |
WILLIAM D. BAXTER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-12 |
Name of individual signing |
WILLIAM D. BAXTER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593398838
|
2011-07-29
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Plan administrator’s name and address
Administrator’s EIN |
593398838 |
Plan administrator’s name |
WILLIAM D. BAXTER, D.M.D., P.A. |
Plan administrator’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218 |
Administrator’s telephone number |
9047514958 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
WILLIAM D. BAXTER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-29 |
Name of individual signing |
WILLIAM D. BAXTER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM D. BAXTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
593398838
|
2010-07-21
|
WILLIAM D. BAXTER, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047514958
|
Plan sponsor’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218
|
Plan administrator’s name and address
Administrator’s EIN |
593398838 |
Plan administrator’s name |
WILLIAM D. BAXTER, D.M.D., P.A. |
Plan administrator’s
address |
1566-3 DUNN AVE., JACKSONVILLE, FL, 32218 |
Administrator’s telephone number |
9047514958 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
WILLIAM D. BAXTER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
WILLIAM D. BAXTER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|