|
JEROME C. SCALES, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
630749975
|
2011-04-19
|
JEROME C. SCALES, D.D.S, P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2057819399
|
| Plan sponsor’s
address |
623 EIGHTH AVENUE WEST, BIRMINGHAM, AL, 35204
|
Plan administrator’s name and address
| Administrator’s EIN |
630749975 |
| Plan administrator’s name |
JEROME C. SCALES, D.D.S, P.A. |
| Plan administrator’s
address |
623 EIGHTH AVENUE WEST, BIRMINGHAM, AL, 35204 |
| Administrator’s telephone number |
2057819399 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-19 |
| Name of individual signing |
JEROME C. SCALES |
|
| Role |
Employer/plan sponsor |
| Date |
2011-04-19 |
| Name of individual signing |
JEROME C. SCALES |
|
|
|
JEROME C. SCALES, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
630749975
|
2011-10-31
|
JEROME C. SCALES, D.D.S., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2057819399
|
| Plan sponsor’s
address |
623 EIGHTH AVENUE WEST, BIRMINGHAM, AL, 35204
|
Plan administrator’s name and address
| Administrator’s EIN |
630749975 |
| Plan administrator’s name |
JEROME C. SCALES, D.D.S., P.A. |
| Plan administrator’s
address |
623 EIGHTH AVENUE WEST, BIRMINGHAM, AL, 35204 |
| Administrator’s telephone number |
2057819399 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-31 |
| Name of individual signing |
JEROME C. SCALES, PRESIDENT |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-31 |
| Name of individual signing |
JEROME C. SCALES, PRESIDENT |
|
|
|
JEROME C. SCALES, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
630749975
|
2011-04-19
|
JEROME C. SCALES, D.D.S, P.A.
|
4
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2057819399
|
| Plan sponsor’s
address |
623 EIGHTH AVENUE WEST, BIRMINGHAM, AL, 35204
|
Plan administrator’s name and address
| Administrator’s EIN |
630749975 |
| Plan administrator’s name |
JEROME C. SCALES, D.D.S, P.A. |
| Plan administrator’s
address |
623 EIGHTH AVENUE WEST, BIRMINGHAM, AL, 35204 |
| Administrator’s telephone number |
2057819399 |
|
|
JEROME C. SCALES, D.D.S.,P.A. PROFIT SHARING PLAN
|
2009
|
630749975
|
2010-07-09
|
JEROME C. SCALES, D.D.S.,P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2057819399
|
| Plan sponsor’s
address |
623 EIGHTH AVENUE WEST, BIRMINGHAM, AL, 35204
|
Plan administrator’s name and address
| Administrator’s EIN |
630749975 |
| Plan administrator’s name |
JEROME C. SCALES, D.D.S.,P.A. |
| Plan administrator’s
address |
623 EIGHTH AVENUE WEST, BIRMINGHAM, AL, 35204 |
| Administrator’s telephone number |
2057819399 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-09 |
| Name of individual signing |
JEROME C.SCALE |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-09 |
| Name of individual signing |
JEROME C. SCALES |
|
|
