CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2023
|
640664602
|
2024-07-24
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2024-07-24 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-24 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2022
|
640664602
|
2023-06-22
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2023-06-22 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-22 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2021
|
640664602
|
2022-07-22
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-21 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2020
|
640664602
|
2021-07-13
|
CHARLES E. HARBISON, D.D.S., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-13 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2019
|
640664602
|
2020-09-10
|
CHARLES E. HARBISON, D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2020-09-10 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-10 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2018
|
640664602
|
2019-06-26
|
CHARLES E. HARBISON, D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2019-06-26 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-26 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2017
|
640664602
|
2018-07-23
|
CHARLES E. HARBISON, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-23 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2016
|
640664602
|
2017-08-31
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6623492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2017-08-31 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-31 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2015
|
640664602
|
2016-08-09
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2016-08-09 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-09 |
Name of individual signing |
JOHN G KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2014
|
640664602
|
2015-08-24
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-06-30
|
Business code |
621210
|
Sponsor’s telephone number |
6013492351
|
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671
|
Signature of
Role |
Plan administrator |
Date |
2015-08-24 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-24 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2013
|
640664602
|
2014-09-11
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/11/20140911143126P030041426319001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1983-06-30 |
Business code |
621210 |
Sponsor’s telephone number |
6013492351 |
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671 |
Signature of
Role |
Plan administrator |
Date |
2014-09-11 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-11 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2012
|
640664602
|
2013-07-15
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/15/20130715081737P040304162531001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1983-06-30 |
Business code |
621210 |
Sponsor’s telephone number |
6013492351 |
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671 |
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-09 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2011
|
640664602
|
2012-07-16
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/16/20120716124032P040004457842001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1983-06-30 |
Business code |
621210 |
Sponsor’s telephone number |
6013492351 |
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671 |
Plan administrator’s name and address
Administrator’s EIN |
640664602 |
Plan administrator’s name |
CHARLES E. HARBISON, D.D.S., P.A. |
Plan administrator’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671 |
Administrator’s telephone number |
6013492351 |
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-16 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
640664602
|
2011-08-31
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/31/20110831093811P030568615504001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1983-06-30 |
Business code |
621210 |
Sponsor’s telephone number |
6623492351 |
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671 |
Plan administrator’s name and address
Administrator’s EIN |
640664602 |
Plan administrator’s name |
CHARLES E. HARBISON, D.D.S., P.A. |
Plan administrator’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671 |
Administrator’s telephone number |
6623492351 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-31 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES E. HARBISON, D.D.S., P.A. PROFIT SHARING PLAN
|
2009
|
640664602
|
2010-09-07
|
CHARLES E. HARBISON, D.D.S., P.A.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/07/20100907113250P030483970545001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1983-06-30 |
Business code |
621210 |
Sponsor’s telephone number |
6623492351 |
Plan sponsor’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671 |
Plan administrator’s name and address
Administrator’s EIN |
640664602 |
Plan administrator’s name |
CHARLES E. HARBISON, D.D.S., P.A. |
Plan administrator’s
address |
730 GOODMAN ROAD, SOUTHAVEN, MS, 38671 |
Administrator’s telephone number |
6623492351 |
Signature of
Role |
Plan administrator |
Date |
2010-09-07 |
Name of individual signing |
JOHN KAKALES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|