|
ATA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
593051126
|
2021-07-22
|
ATA DENTAL ASSOCIATES, P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078705151
|
| Plan sponsor’s
address |
3192 S. JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746
|
|
|
ATA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
593051126
|
2013-09-13
|
ATA DENTAL ASSOCIATES, P.A.
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078705151
|
| Plan sponsor’s mailing address |
3192 S. JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746
|
| Plan sponsor’s
address |
3192 SOUTH JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746
|
Number of participants as of the end of the plan year
| Active participants |
14 |
| Other
retired or separated participants entitled to future benefits |
6 |
| Number of
participants
with
account balances as of the end of the plan year |
13 |
Signature of
| Role |
Plan administrator |
| Date |
2013-09-13 |
| Name of individual signing |
OMAR ATA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-09-13 |
| Name of individual signing |
OMAR ATA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ATA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593051126
|
2012-10-10
|
ATA DENTAL ASSOCIATES, P.A.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078705151
|
| Plan sponsor’s mailing address |
3192 S. JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746
|
| Plan sponsor’s
address |
3192 SOUTH JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746
|
Plan administrator’s name and address
| Administrator’s EIN |
593051126 |
| Plan administrator’s name |
ATA DENTAL ASSOCIATES, P.A. |
| Plan administrator’s
address |
3192 S. JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746 |
| Administrator’s telephone number |
4078705151 |
Number of participants as of the end of the plan year
| Active participants |
20 |
| Number of
participants
with
account balances as of the end of the plan year |
12 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-10 |
| Name of individual signing |
OMAR ATA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-10 |
| Name of individual signing |
OMAR ATA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ATA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593051126
|
2012-09-25
|
ATA DENTAL ASSOCIATES, P.A.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078705151
|
| Plan sponsor’s mailing address |
3192 S. JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746
|
| Plan sponsor’s
address |
3192 SOUTH JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746
|
Plan administrator’s name and address
| Administrator’s EIN |
593051126 |
| Plan administrator’s name |
ATA DENTAL ASSOCIATES, P.A. |
| Plan administrator’s
address |
3192 S. JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746 |
| Administrator’s telephone number |
4078705151 |
Number of participants as of the end of the plan year
| Active participants |
19 |
| Number of
participants
with
account balances as of the end of the plan year |
12 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-25 |
| Name of individual signing |
OMAR ATA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-25 |
| Name of individual signing |
OMAR ATA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ATA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593051126
|
2011-08-30
|
ATA DENTAL ASSOCIATES, P.A.
|
18
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078705152
|
| Plan sponsor’s
address |
3192 S. JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746
|
Plan administrator’s name and address
| Administrator’s EIN |
593051126 |
| Plan administrator’s name |
ATA DENTAL ASSOCIATES, P.A. |
| Plan administrator’s
address |
3192 S. JOHN YOUNG PARKWAY, SUITE B, KISSIMMEE, FL, 34746 |
| Administrator’s telephone number |
4078705152 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-30 |
| Name of individual signing |
OMAR ATA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-30 |
| Name of individual signing |
OMAR ATA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
