|
AFFORDABLEBRACES.COM PA PROFIT SHARING PLAN AND TRUST
|
2010
|
593584397
|
2011-02-23
|
AFFORDABLEBRACES.COM PA
|
16
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3214537750
|
| Plan sponsor’s mailing address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838
|
| Plan sponsor’s
address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838
|
Plan administrator’s name and address
| Administrator’s EIN |
593584397 |
| Plan administrator’s name |
AFFORDABLEBRACES.COM PA |
| Plan administrator’s
address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838 |
| Administrator’s telephone number |
3214537750 |
Number of participants as of the end of the plan year
| Active participants |
10 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| 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 |
12 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-02-23 |
| Name of individual signing |
PAUL L OUELLETTE DDS MS |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
AFFORDABLEBRACES.COM PA PROFIT SHARING PLAN AND TRUST
|
2010
|
593584397
|
2011-03-09
|
AFFORDABLEBRACES.COM PA
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3214537750
|
| Plan sponsor’s mailing address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838
|
| Plan sponsor’s
address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838
|
Plan administrator’s name and address
| Administrator’s EIN |
593584397 |
| Plan administrator’s name |
AFFORDABLEBRACES.COM PA |
| Plan administrator’s
address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838 |
| Administrator’s telephone number |
3214537750 |
Number of participants as of the end of the plan year
| Active participants |
10 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| 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 |
12 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-09 |
| Name of individual signing |
PAUL L OUELLETTE DDS MS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AFFORDABLEBRACES.COM PA PROFIT SHARING PLAN AND TRUST
|
2009
|
593584397
|
2010-06-03
|
AFFORDABLEBRACES.COM PA
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3214537750
|
| Plan sponsor’s mailing address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838
|
| Plan sponsor’s
address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838
|
Plan administrator’s name and address
| Administrator’s EIN |
593584397 |
| Plan administrator’s name |
AFFORDABLEBRACES.COM PA |
| Plan administrator’s
address |
455 MAGNOLIA AVE STE B, MERRITT ISLAND, FL, 329524838 |
| Administrator’s telephone number |
3214537750 |
Number of participants as of the end of the plan year
| Active participants |
11 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| 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 |
14 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-03 |
| Name of individual signing |
PAUL L OUELLETTE DDS MS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
