LIFE DENTAL GROUP, LLC 401(K) PLAN
|
2023
|
821977654
|
2024-05-20
|
LIFE DENTAL GROUP, LLC
|
123
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6622817220
|
Plan sponsor’s
address |
306 ENTERPRISE DR., OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2024-05-20 |
Name of individual signing |
CHARLES HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-20 |
Name of individual signing |
CHARLES HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE DENTAL GROUP, LLC 401(K) PLAN
|
2022
|
821977654
|
2023-08-04
|
LIFE DENTAL GROUP, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6622817220
|
Plan sponsor’s
address |
306 ENTERPRISE DR., OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2023-08-04 |
Name of individual signing |
CHARLES HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-04 |
Name of individual signing |
CHARLES HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE DENTAL GROUP, LLC 401(K) PLAN
|
2021
|
821977654
|
2022-09-22
|
LIFE DENTAL GROUP, LLC
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6622817220
|
Plan sponsor’s
address |
306 ENTERPRISE DR., OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2022-09-22 |
Name of individual signing |
WILLIAM BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-22 |
Name of individual signing |
WILLIAM BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE DENTAL GROUP, LLC 401(K) PLAN
|
2020
|
821977654
|
2021-08-11
|
LIFE DENTAL GROUP, LLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6622817220
|
Plan sponsor’s
address |
306 ENTERPRISE DR., OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2021-08-10 |
Name of individual signing |
WILLIAM BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-10 |
Name of individual signing |
WILLIAM BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE DENTAL GROUP, LLC 401(K) PLAN
|
2019
|
821977654
|
2020-07-25
|
LIFE DENTAL GROUP, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6622817220
|
Plan sponsor’s
address |
306 ENTERPRISE DR., OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
DOUG BLAYLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-22 |
Name of individual signing |
DOUG BLAYLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE DENTAL GROUP, LLC 401(K) PLAN
|
2018
|
821977654
|
2019-09-16
|
LIFE DENTAL GROUP, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6622817220
|
Plan sponsor’s
address |
306 ENTERPRISE DR., OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2019-09-13 |
Name of individual signing |
DOUG BLAYLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-13 |
Name of individual signing |
DOUG BLAYLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|