|
CULPEPPER DENTAL CLINIC, PLLC 401(K) PLAN
|
2022
|
814362692
|
2023-10-05
|
CULPEPPER DENTAL CLINIC, PLLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6016493344
|
| Plan sponsor’s
address |
701N.16TH AVE., LAUREL, MS, 39440
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-05 |
| Name of individual signing |
ROBERT B. CULPEPPER DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CULPEPPER DENTAL CLINIC, PLLC 401(K) PLAN
|
2021
|
814362692
|
2022-09-20
|
CULPEPPER DENTAL CLINIC, PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6016493344
|
| Plan sponsor’s
address |
701N.16TH AVE., LAUREL, MS, 39440
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-20 |
| Name of individual signing |
ROBERT B. CULPEPPER DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CULPEPPER DENTAL CLINIC, PLLC 401(K) PLAN
|
2020
|
814362692
|
2021-10-13
|
CULPEPPER DENTAL CLINIC, PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6016493344
|
| Plan sponsor’s
address |
701N.16TH AVE., LAUREL, MS, 39440
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-13 |
| Name of individual signing |
ROBERT B. CULPEPPER DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CULPEPPER DENTAL CLINIC, PLLC 401(K) PLAN
|
2019
|
814362692
|
2020-10-02
|
CULPEPPER DENTAL CLINIC, PLLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6016493344
|
| Plan sponsor’s
address |
701N.16TH AVE., LAUREL, MS, 39440
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-02 |
| Name of individual signing |
ROBERT B. CULPEPPER DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CULPEPPER DENTAL CLINIC, PLLC 401(K) PLAN
|
2018
|
814362692
|
2019-07-03
|
CULPEPPER DENTAL CLINIC, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6016493344
|
| Plan sponsor’s
address |
701N.16TH AVE., LAUREL, MS, 39440
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-03 |
| Name of individual signing |
ROBERT B. CULPEPPER DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
