JOHN I. PARK, D.M.D., P.A. PROFIT SHARING 401(K) PLAN
|
2014
|
593555785
|
2015-03-24
|
JOHN I. PARK, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8630600023
|
Plan sponsor’s
address |
400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145
|
|
JOHN I. PARK, D.M.D., P.A. PROFIT SHARING 401(K) PLAN
|
2013
|
593555785
|
2014-01-20
|
JOHN I. PARK, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632930023
|
Plan sponsor’s
address |
400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145
|
Signature of
Role |
Plan administrator |
Date |
2014-01-20 |
Name of individual signing |
JOHN PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-20 |
Name of individual signing |
JOHN PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN I. PARK, D.M.D., P.A. PROFIT SHARING 401(K) PLAN
|
2012
|
593555785
|
2013-04-23
|
JOHN I. PARK, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632930023
|
Plan sponsor’s
address |
400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145
|
Signature of
Role |
Plan administrator |
Date |
2013-04-23 |
Name of individual signing |
JOHN PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-23 |
Name of individual signing |
JOHN PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN I. PARK, D.M.D., P.A. PROFIT SHARING 401(K) PLAN
|
2011
|
593555785
|
2012-04-19
|
JOHN I. PARK, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8632930023
|
Plan sponsor’s
address |
400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145
|
Plan administrator’s name and address
Administrator’s EIN |
593555785 |
Plan administrator’s name |
JOHN I. PARK, D.M.D., P.A. |
Plan administrator’s
address |
400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145 |
Administrator’s telephone number |
8632930023 |
Signature of
Role |
Plan administrator |
Date |
2012-04-19 |
Name of individual signing |
JOHN PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-19 |
Name of individual signing |
JOHN PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|