NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2020
|
522185161
|
2021-08-31
|
NAPLES DENTAL ART CENTER INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2021-08-31 |
Name of individual signing |
BAHMAN ASADI TEHRANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2018
|
522185161
|
2019-08-16
|
NAPLES DENTAL ART CENTER INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-08-16 |
Name of individual signing |
BAHMAN ASADI TEHRANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2017
|
522185161
|
2018-07-31
|
NAPLES DENTAL ART CENTER INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
BAHMAN ASADI TEHRANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2016
|
522185161
|
2017-06-22
|
NAPLES DENTAL ART CENTER INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-22 |
Name of individual signing |
BAHMAN ASADI TEHRANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2015
|
522185161
|
2016-06-17
|
NAPLES DENTAL ART CENTER INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-14 |
Name of individual signing |
BAHMAN ASADI TEHRANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2014
|
522185161
|
2015-10-26
|
NAPLES DENTAL ART CENTER INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Number of participants as of the end of the plan year
Other
retired or separated participants entitled to future benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2015-08-12 |
Name of individual signing |
BAHMAN ASADI TEHRANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2013
|
522185161
|
2015-10-23
|
NAPLES DENTAL ART CENTER INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2014-09-12 |
Name of individual signing |
BAHMAN ASADI TEHRANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2011
|
522185161
|
2012-09-12
|
NAPLES DENTAL ART CENTER, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan administrator’s name and address
Administrator’s EIN |
522185161 |
Plan administrator’s name |
NAPLES DENTAL ART CENTER, INC. |
Plan administrator’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109 |
Administrator’s telephone number |
2395661940 |
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-09-12 |
Name of individual signing |
MOHAMMAD SHA ETESSAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2010
|
522185161
|
2011-09-22
|
NAPLES DENTAL ART CENTER, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan administrator’s name and address
Administrator’s EIN |
522185161 |
Plan administrator’s name |
NAPLES DENTAL ART CENTER, INC. |
Plan administrator’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109 |
Administrator’s telephone number |
2395661940 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
MOHAMMAD SHA ETESSAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NAPLES DENTAL ART CENTER PROFIT SHARING PLAN
|
2009
|
522185161
|
2010-09-14
|
NAPLES DENTAL ART CENTER, INC.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-12-27
|
Business code |
621210
|
Sponsor’s telephone number |
2395661940
|
Plan sponsor’s mailing address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan sponsor’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109
|
Plan administrator’s name and address
Administrator’s EIN |
522185161 |
Plan administrator’s name |
NAPLES DENTAL ART CENTER, INC. |
Plan administrator’s
address |
1575 PINE RIDGE ROAD, SUITE 18, NAPLES, FL, 34109 |
Administrator’s telephone number |
2395661940 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
MOHAMMAD SHA ETESSAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-13 |
Name of individual signing |
MOHAMMAD SHA ETESSAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|