MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN
|
2017
|
593595353
|
2018-07-10
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-10 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN
|
2017
|
593595353
|
2018-07-10
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-10 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN
|
2016
|
593595353
|
2018-01-31
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2018-01-31 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-31 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN
|
2016
|
593595353
|
2017-07-27
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN
|
2015
|
593595353
|
2016-10-17
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN
|
2015
|
593595353
|
2016-08-22
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2016-08-22 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-22 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN
|
2014
|
593595353
|
2015-10-16
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2015-10-16 |
Name of individual signing |
CELIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN
|
2014
|
593595353
|
2016-08-22
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2016-08-22 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-22 |
Name of individual signing |
NEIL ROSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN
|
2014
|
593595353
|
2015-10-16
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9047550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2015-10-16 |
Name of individual signing |
CELIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN
|
2013
|
593595353
|
2014-10-13
|
MARTIN ORTHODONTICS OF LAKE CITY, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867550546
|
Plan sponsor’s
address |
701 SW STATE ROAD 47, LAKE CITY, FL, 320250453
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
CELIA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|