|
HERITAGE DENTAL OF CENTRAL FLORIDA, P.A. 401(K) & PROFIT SHARING PLAN
|
2010
|
593543177
|
2011-01-06
|
HERITAGE DENTAL OF CENTRAL FLORIDA, PA
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527504111
|
| Plan sponsor’s
address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159
|
Plan administrator’s name and address
| Administrator’s EIN |
593543177 |
| Plan administrator’s name |
HERITAGE DENTAL OF CENTRAL FLORIDA, PA |
| Plan administrator’s
address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159 |
| Administrator’s telephone number |
3527504111 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-06 |
| Name of individual signing |
KENNETH COHRN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HERITAGE DENTAL OF CENTRAL FLORIDA, P.A. 401(K) & PROFIT SHARING PLAN
|
2009
|
593543177
|
2010-08-03
|
HERITAGE DENTAL OF CENTRAL FLORIDA, PA
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527504111
|
| Plan sponsor’s
address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159
|
Plan administrator’s name and address
| Administrator’s EIN |
593543177 |
| Plan administrator’s name |
HERITAGE DENTAL OF CENTRAL FLORIDA, PA |
| Plan administrator’s
address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159 |
| Administrator’s telephone number |
3527504111 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-03 |
| Name of individual signing |
KENNETH COHRN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HERITAGE DENTAL OF CENTRAL FLORIDA, P.A. 401(K) & PROFIT SHARING PLAN
|
2009
|
593543177
|
2010-08-03
|
HERITAGE DENTAL OF CENTRAL FLORIDA, PA
|
8
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527504111
|
| Plan sponsor’s
address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159
|
Plan administrator’s name and address
| Administrator’s EIN |
593543177 |
| Plan administrator’s name |
HERITAGE DENTAL OF CENTRAL FLORIDA, PA |
| Plan administrator’s
address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159 |
| Administrator’s telephone number |
3527504111 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-03 |
| Name of individual signing |
KENNETH COHRN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HERITAGE DENTAL OF CENTRAL FLORIDA, P.A. 401 (K) & PROFIT SHARING PLAN
|
2009
|
593543177
|
2010-09-29
|
HERITAGE DENTAL OF CENTRAL FLORIDA, PA
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527504111
|
| Plan sponsor’s mailing address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159
|
| Plan sponsor’s
address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159
|
Plan administrator’s name and address
| Administrator’s EIN |
593543177 |
| Plan administrator’s name |
HERITAGE DENTAL OF CENTRAL FLORIDA, PA |
| Plan administrator’s
address |
422 TEAGUE TRAIL, LADY LAKE, FL, 32159 |
| Administrator’s telephone number |
3527504111 |
Number of participants as of the end of the plan year
| Active participants |
7 |
| Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-29 |
| Name of individual signing |
KENNETH COHRN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
