|
NORTHSIDE DENTAL CARE INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
593509207
|
2012-10-24
|
NORTHSIDE DENTAL CARE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047571555
|
| Plan sponsor’s
address |
41 SARA DR, JACKSONVILLE, FL, 322184069
|
Plan administrator’s name and address
| Administrator’s EIN |
593509207 |
| Plan administrator’s name |
NORTHSIDE DENTAL CARE INC |
| Plan administrator’s
address |
41 SARA DR, JACKSONVILLE, FL, 322184069 |
| Administrator’s telephone number |
9047571555 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-24 |
| Name of individual signing |
NORTHSIDE DENTAL CARE INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHSIDE DENTAL CARE INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
593509207
|
2012-10-23
|
NORTHSIDE DENTAL CARE, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047571555
|
| Plan sponsor’s
address |
41 SARA DRIVE, JACKSONVILLE, FL, 322180000
|
Plan administrator’s name and address
| Administrator’s EIN |
593509207 |
| Plan administrator’s name |
NORTHSIDE DENTAL CARE, INC. |
| Plan administrator’s
address |
41 SARA DRIVE, JACKSONVILLE, FL, 322180000 |
| Administrator’s telephone number |
9047571555 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-23 |
| Name of individual signing |
NORTHSIDE DENTAL CARE, INC. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHSIDE DENTAL CARE INC
|
2009
|
593509207
|
2010-07-28
|
NORTHSIDE DENTAL CARE, INC.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047571555
|
| Plan sponsor’s
address |
41 SARA DRIVE, JACKSONVILLE, FL, 322180000
|
Plan administrator’s name and address
| Administrator’s EIN |
593509207 |
| Plan administrator’s name |
NORTHSIDE DENTAL CARE, INC. |
| Plan administrator’s
address |
41 SARA DRIVE, JACKSONVILLE, FL, 322180000 |
| Administrator’s telephone number |
9047571555 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-28 |
| Name of individual signing |
NORTHSIDE DENTAL CARE, INC. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHSIDE DENTAL CARE INC
|
2009
|
593509207
|
2010-07-21
|
NORTHSIDE DENTAL CARE, INC.
|
7
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047571555
|
| Plan sponsor’s
address |
41 SARA DRIVE, JACKSONVILLE, FL, 322180000
|
Plan administrator’s name and address
| Administrator’s EIN |
593509207 |
| Plan administrator’s name |
NORTHSIDE DENTAL CARE, INC. |
| Plan administrator’s
address |
41 SARA DRIVE, JACKSONVILLE, FL, 322180000 |
| Administrator’s telephone number |
9047571555 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-21 |
| Name of individual signing |
NORTHSIDE DENTAL CARE, INC. |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
