|
PEMBROKE PINES DENTAL HEALTH CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
650865914
|
2013-07-11
|
PEMBROKE PINES DENTAL HEALTH CENTER, P.A.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3057931790
|
| Plan sponsor’s mailing address |
1806 N FLAMINGO ROAD, SUITE 170, PEMBROKE PINES, FL, 33028
|
| Plan sponsor’s
address |
1806 N FLAMINGO ROAD, SUITE 170, PEMBROKE PINES, FL, 33028
|
Plan administrator’s name and address
| Administrator’s EIN |
650865914 |
| Plan administrator’s name |
PEMBROKE PINES DENTAL HEALTH CENTER, P.A. |
| Plan administrator’s
address |
1806 N FLAMINGO ROAD, SUITE 170, PEMBROKE PINES, FL, 33028 |
| Administrator’s telephone number |
3057931790 |
Number of participants as of the end of the plan year
| Active participants |
24 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
5 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
19 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-11 |
| Name of individual signing |
ZENAIDA LEGRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEMBROKE PINES DENTAL HEALTH CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
650865914
|
2012-10-04
|
PEMBROKE PINES DENTAL HEALTH CENTER, P.A.
|
41
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3057931790
|
| Plan sponsor’s mailing address |
1806 N FLAMINGO RD, SUITE 101, PEMBROKE PINES, FL, 33028
|
| Plan sponsor’s
address |
1806 N FLAMINGO RD, SUITE 101, PEMBROKE PINES, FL, 33028
|
Plan administrator’s name and address
| Administrator’s EIN |
650865914 |
| Plan administrator’s name |
PEMBROKE PINES DENTAL HEALTH CENTER, P.A. |
| Plan administrator’s
address |
1806 N FLAMINGO RD, SUITE 101, PEMBROKE PINES, FL, 33028 |
| Administrator’s telephone number |
3057931790 |
Number of participants as of the end of the plan year
| Active participants |
18 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
6 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
24 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-04 |
| Name of individual signing |
ZENAIDA LEGRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEMBROKE PINES DENTAL HEALTH CENTER PA 401K PSP
|
2010
|
650865914
|
2011-06-01
|
PEMBROKE PINES DENTAL HEALTH CENTER P.A.
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3058217811
|
| Plan
sponsor’s DBA name |
ALTH
|
| Plan sponsor’s
address |
935 W 49TH ST STE 101, HIALEAH, FL, 330123436
|
Plan administrator’s name and address
| Administrator’s EIN |
650865914 |
| Plan administrator’s name |
PEMBROKE PINES DENTAL HEALTH CENTER P.A. |
| Plan administrator’s
address |
935 W 49TH ST STE 101, HIALEAH, FL, 330123436 |
| Administrator’s telephone number |
3058217811 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-01 |
| Name of individual signing |
JUAN ERRO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEMBROKE PINES DENTAL HEALTH CENTER PA 401K PSP
|
2009
|
650865914
|
2010-10-06
|
PEMBROKE PINES DENTAL HEALTH CENTER P.A.
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3058217811
|
| Plan sponsor’s
address |
935 W 49TH ST STE 101, HIALEAH, FL, 330123436
|
Plan administrator’s name and address
| Administrator’s EIN |
650865914 |
| Plan administrator’s name |
PEMBROKE PINES DENTAL HEALTH CENTER P.A. |
| Plan administrator’s
address |
935 W 49TH ST STE 101, HIALEAH, FL, 330123436 |
| Administrator’s telephone number |
3058217811 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
JUAN ERRO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
