AMZI R. SHERLING, D.D.S., P.C. 401(K) RETIREMENT PLAN
|
2011
|
631190729
|
2012-05-25
|
AMZI R. SHERLING, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2519908885
|
Plan sponsor’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532
|
Plan administrator’s name and address
Administrator’s EIN |
631190729 |
Plan administrator’s name |
AMZI R. SHERLING, D.D.S., P.C. |
Plan administrator’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532 |
Administrator’s telephone number |
2519908885 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
AMZI R. SHERLING |
|
Role |
Employer/plan sponsor |
Date |
2012-05-25 |
Name of individual signing |
AMZI R. SHERLING |
|
|
AMZI R. SHERLING, D.D.S., P.C. 401(K) RETIREMENT PLAN
|
2011
|
631190729
|
2012-12-07
|
AMZI R. SHERLING, D.D.S., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2519908885
|
Plan sponsor’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532
|
Plan administrator’s name and address
Administrator’s EIN |
631190729 |
Plan administrator’s name |
AMZI R. SHERLING, D.D.S., P.C. |
Plan administrator’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532 |
Administrator’s telephone number |
2519908885 |
Signature of
Role |
Plan administrator |
Date |
2012-12-07 |
Name of individual signing |
AMZI R. SHERLING |
|
Role |
Employer/plan sponsor |
Date |
2012-12-07 |
Name of individual signing |
AMZI R. SHERLING |
|
|
AMZI R. SHERLING, D.D.S., P.C. 401(K) RETIREMENT PLAN
|
2010
|
631190729
|
2011-07-11
|
AMZI R. SHERLING, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2519908885
|
Plan sponsor’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532
|
Plan administrator’s name and address
Administrator’s EIN |
631190729 |
Plan administrator’s name |
AMZI R. SHERLING, D.D.S., P.C. |
Plan administrator’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532 |
Administrator’s telephone number |
2519908885 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
AMZI R. SHERLING |
|
Role |
Employer/plan sponsor |
Date |
2011-07-11 |
Name of individual signing |
AMZI R. SHERLING |
|
|
AMZI R. SHERLING, D.D.S., P.C. 401(K) RETIREMENT PLAN
|
2010
|
631190729
|
2011-07-11
|
AMZI R. SHERLING, D.D.S., P.C.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2519908885
|
Plan sponsor’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532
|
Plan administrator’s name and address
Administrator’s EIN |
631190729 |
Plan administrator’s name |
AMZI R. SHERLING, D.D.S., P.C. |
Plan administrator’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532 |
Administrator’s telephone number |
2519908885 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
AMZI R. SHERLING |
|
Role |
Employer/plan sponsor |
Date |
2011-07-11 |
Name of individual signing |
AMZI R. SHERLING |
|
|
AMZI R. SHERLING, D.D.S., P.C. 401(K) RETIREMENT PLAN
|
2010
|
631190729
|
2011-07-11
|
AMZI R. SHERLING, D.D.S., P.C.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2519908885
|
Plan sponsor’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532
|
Plan administrator’s name and address
Administrator’s EIN |
631190729 |
Plan administrator’s name |
AMZI R. SHERLING, D.D.S., P.C. |
Plan administrator’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532 |
Administrator’s telephone number |
2519908885 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
AMZI R. SHERLING |
|
Role |
Employer/plan sponsor |
Date |
2011-07-11 |
Name of individual signing |
AMZI R. SHERLING |
|
|
AMZI R. SHERLING, D.D.S., P.C. 401(K) RETIREMENT PLAN
|
2009
|
631190729
|
2010-09-22
|
AMZI R. SHERLING, D.D.S., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2519908885
|
Plan sponsor’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532
|
Plan administrator’s name and address
Administrator’s EIN |
631190729 |
Plan administrator’s name |
AMZI R. SHERLING, D.D.S., P.C. |
Plan administrator’s
address |
19354 GREENO ROAD, FAIRHOPE, AL, 36532 |
Administrator’s telephone number |
2519908885 |
Signature of
Role |
Plan administrator |
Date |
2010-09-22 |
Name of individual signing |
AMZI R. SHERLING |
|
Role |
Employer/plan sponsor |
Date |
2010-09-22 |
Name of individual signing |
AMZI R. SHERLING |
|
|