GENE PARKER, D.D.S., P.A. PROFIT SHARING PLAN
|
2018
|
640638542
|
2019-07-23
|
GENE PARKER, D.D.S., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016840748
|
Plan sponsor’s
address |
1500 ASTON AVENUE, MCCOMB, MS, 39648
|
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
GENE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENE PARKER, D.D.S., P.A. PROFIT SHARING PLAN
|
2017
|
640638542
|
2018-06-22
|
GENE PARKER, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016840748
|
Plan sponsor’s
address |
1500 ASTON AVENUE, MCCOMB, MS, 39648
|
Signature of
Role |
Plan administrator |
Date |
2018-06-22 |
Name of individual signing |
GENE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENE PARKER, D.D.S., P.A. PROFIT SHARING PLAN
|
2016
|
640638542
|
2017-06-27
|
GENE PARKER, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016840748
|
Plan sponsor’s
address |
1500 ASTON AVENUE, MCCOMB, MS, 39648
|
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
GENE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENE PARKER, D.D.S., P.A. PROFIT SHARING PLAN
|
2015
|
640638542
|
2016-06-30
|
GENE PARKER, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016840748
|
Plan sponsor’s
address |
1500 ASTON AVENUE, MCCOMB, MS, 39648
|
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
GENE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENE PARKER, D.D.S., P.A. PROFIT SHARING PLAN
|
2009
|
640638542
|
2010-04-13
|
GENE PARKER, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016840748
|
Plan sponsor’s
address |
1500 ASTON AVENUE, MCCOMB, MS, 39648
|
Plan administrator’s name and address
Administrator’s EIN |
640638542 |
Plan administrator’s name |
GENE PARKER, D.D.S., P.A. |
Plan administrator’s
address |
1500 ASTON AVENUE, MCCOMB, MS, 39648 |
Administrator’s telephone number |
6016840748 |
Signature of
Role |
Plan administrator |
Date |
2010-04-13 |
Name of individual signing |
GENE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-04-13 |
Name of individual signing |
GENE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|