|
401K EMPLOYEE RETIREMENT PLAN
|
2023
|
471448858
|
2024-07-25
|
SMILES ON BROADWAY DENTAL CARE, PA
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6016654996
|
| Plan sponsor’s
address |
5442 WATKINS DRIVE, JACKSON, MS, 39206
|
Plan administrator’s name and address
| Administrator’s EIN |
452557054 |
| Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
| Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
| Administrator’s telephone number |
6019191023 |
Signature of
| Role |
Plan administrator |
| Date |
2024-07-25 |
| Name of individual signing |
SCOTT HILL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2022
|
471448858
|
2023-07-14
|
SMILES ON BROADWAY DENTAL CARE, PA
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6016654996
|
| Plan sponsor’s
address |
5442 WATKINS DRIVE, JACKSON, MS, 39206
|
Plan administrator’s name and address
| Administrator’s EIN |
452557054 |
| Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
| Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
| Administrator’s telephone number |
6019191023 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-14 |
| Name of individual signing |
SCOTT HILL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2021
|
471448858
|
2022-07-26
|
SMILES ON BROADWAY DENTAL CARE, PA
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6016654996
|
| Plan sponsor’s
address |
5442 WATKINS DRIVE, JACKSON, MS, 39206
|
Plan administrator’s name and address
| Administrator’s EIN |
452557054 |
| Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
| Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
| Administrator’s telephone number |
6019191023 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-26 |
| Name of individual signing |
SCOTT HILL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2020
|
471448858
|
2021-07-28
|
SMILES ON BROADWAY DENTAL CARE, PA
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6016654996
|
| Plan sponsor’s
address |
5442 WATKINS DRIVE, JACKSON, MS, 39206
|
Plan administrator’s name and address
| Administrator’s EIN |
452557054 |
| Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
| Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
| Administrator’s telephone number |
6019191023 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-28 |
| Name of individual signing |
SCOTT HILL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
