|
BRYAN D. OETH, DMD, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593073920
|
2012-06-22
|
BRYAN D. OETH, DMD, P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078058808
|
| Plan sponsor’s mailing address |
622 FLUME CT., LONGWOOD, FL, 32750
|
| Plan sponsor’s
address |
622 FLUME CT., LONGWOOD, FL, 32750
|
Plan administrator’s name and address
| Administrator’s EIN |
593073920 |
| Plan administrator’s name |
BRYAN D. OETH, DMD, P.A. |
| Plan administrator’s
address |
622 FLUME CT., LONGWOOD, FL, 32750 |
| Administrator’s telephone number |
4078058808 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
0 |
| 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 |
2012-06-22 |
| Name of individual signing |
BRYAN D. OETH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-22 |
| Name of individual signing |
BRYAN D. OETH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRYAN D. OETH, DMD, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593073920
|
2011-11-18
|
BRYAN D. OETH, DMD, P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078058808
|
| Plan sponsor’s mailing address |
622 FLUME CT., LONGWOOD, FL, 32750
|
| Plan sponsor’s
address |
622 FLUME CT., LONGWOOD, FL, 32750
|
Plan administrator’s name and address
| Administrator’s EIN |
593073920 |
| Plan administrator’s name |
BRYAN D. OETH, DMD, P.A. |
| Plan administrator’s
address |
622 FLUME CT., LONGWOOD, FL, 32750 |
| Administrator’s telephone number |
4078058808 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
5 |
| 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 |
2011-11-18 |
| Name of individual signing |
BRYAN D. OETH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-11-18 |
| Name of individual signing |
BRYAN D. OETH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRYAN D. OETH, DMD, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593073920
|
2011-10-17
|
BRYAN D. OETH, DMD, P.A.
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078058808
|
| Plan sponsor’s mailing address |
239 2ND AVE SOUTH, ST. PETERSBURG, FL, 33701
|
| Plan sponsor’s
address |
239 2ND AVE SOUTH, ST. PETERSBURG, FL, 33701
|
Plan administrator’s name and address
| Administrator’s EIN |
593073920 |
| Plan administrator’s name |
BRYAN D. OETH, DMD, P.A. |
| Plan administrator’s
address |
239 2ND AVE SOUTH, ST. PETERSBURG, FL, 33701 |
| Administrator’s telephone number |
4078058808 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
5 |
| 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 |
2011-10-17 |
| Name of individual signing |
BRYAN D. OETH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-17 |
| Name of individual signing |
BRYAN D. OETH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRYAN D. OETH, DMD, P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
593073920
|
2010-10-05
|
BRYAN D. OETH, DMD, P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7278988585
|
| Plan sponsor’s
address |
239 2ND AVE SOUTH, ST. PETERSBURG, FL, 33701
|
Plan administrator’s name and address
| Administrator’s EIN |
593073920 |
| Plan administrator’s name |
BRYAN D. OETH, DMD, P.A. |
| Plan administrator’s
address |
239 2ND AVE SOUTH, ST. PETERSBURG, FL, 33701 |
| Administrator’s telephone number |
7278988585 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-05 |
| Name of individual signing |
BRYAN D. OETH, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-05 |
| Name of individual signing |
BRYAN D. OETH, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
