KENNETH A. BAILEY, JR. 401(K) PROFIT SHARING PLAN
|
2015
|
640878102
|
2016-07-14
|
KENNETH A. BAILEY, JR. DDS, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019811000
|
Plan sponsor’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-14 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. BAILEY, JR. 401(K) PROFIT SHARING PLAN
|
2014
|
640878102
|
2015-10-12
|
KENNETH A. BAILEY, JR. DDS, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019811000
|
Plan sponsor’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-12 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. BAILEY, JR. 401(K) PROFIT SHARING PLAN
|
2013
|
640878102
|
2014-09-30
|
KENNETH A. BAILEY, JR. DDS, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019811000
|
Plan sponsor’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2014-09-30 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-30 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. BAILEY, JR. 401(K) PROFIT SHARING PLAN
|
2012
|
640878102
|
2013-07-31
|
KENNETH A. BAILEY, JR. DDS, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019811000
|
Plan sponsor’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-31 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. BAILEY, JR. 401(K) PROFIT SHARING PLAN
|
2011
|
640878102
|
2012-10-11
|
KENNETH A. BAILEY, JR. DDS, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019811000
|
Plan sponsor’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
640878102 |
Plan administrator’s name |
KENNETH A. BAILEY, JR. DDS, P.A. |
Plan administrator’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206 |
Administrator’s telephone number |
6019811000 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. BAILEY, JR. 401(K) PROFIT SHARING PLAN
|
2010
|
640878102
|
2011-10-04
|
KENNETH A. BAILEY, JR. DDS, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019811000
|
Plan sponsor’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
640878102 |
Plan administrator’s name |
KENNETH A. BAILEY, JR. DDS, P.A. |
Plan administrator’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206 |
Administrator’s telephone number |
6019811000 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-04 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. BAILEY, JR. 401(K) PROFIT SHARING PLAN
|
2009
|
640878102
|
2010-10-14
|
KENNETH A. BAILEY, JR. DDS, P.A.
|
16
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019811000
|
Plan sponsor’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
640878102 |
Plan administrator’s name |
KENNETH A. BAILEY, JR. DDS, P.A. |
Plan administrator’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206 |
Administrator’s telephone number |
6019811000 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
KENNETH A. BAILEY, JR. 401(K) PROFIT SHARING PLAN
|
2009
|
640878102
|
2010-10-14
|
KENNETH A. BAILEY, JR. DDS, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019811000
|
Plan sponsor’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
640878102 |
Plan administrator’s name |
KENNETH A. BAILEY, JR. DDS, P.A. |
Plan administrator’s
address |
345 NORTH MART PLAZA, JACKSON, MS, 39206 |
Administrator’s telephone number |
6019811000 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
KENNETH A. BAILEY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|