DENTAL CARE OF CLINTON 401K PROFIT SHARING PLAN
|
2015
|
721399888
|
2016-10-10
|
DENTAL CARE OF CLINTON, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 E, CLINTON, MS, 390565246
|
Plan sponsor’s
address |
959 HIGHWAY 80 E, CLINTON, MS, 390565246
|
Plan administrator’s name and address
Administrator’s EIN |
721399888 |
Plan administrator’s name |
DENTAL CARE OF CLINTON, PLLC |
Plan administrator’s
address |
959 HIGHWAY 80 E, CLINTON, MS, 390565246 |
Administrator’s telephone number |
6019259100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-07 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-07 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON 401K PROFIT SHARING PLAN
|
2014
|
721399888
|
2015-09-30
|
DENTAL CARE OF CLINTON, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-30 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2013
|
721399888
|
2014-09-24
|
DENTAL CARE OF CLINTON, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Active participants |
5 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2014-09-24 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-24 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2012
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2012
|
721399888
|
2013-09-30
|
DENTAL CARE OF CLINTON, PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Active participants |
5 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2013-09-30 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-30 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2012
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2012
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2012
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2012
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2012
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Sponsor’s telephone number |
6019259100
|
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2011
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/26/20130926105631P040009832705001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019259100 |
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Plan administrator’s name and address
Administrator’s EIN |
721399888 |
Plan administrator’s name |
DENTAL CARE OF CLINTON, PLLC |
Plan administrator’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Administrator’s telephone number |
6019259100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2010
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/26/20130926104140P030007549891001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019259100 |
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Plan administrator’s name and address
Administrator’s EIN |
721399888 |
Plan administrator’s name |
DENTAL CARE OF CLINTON, PLLC |
Plan administrator’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Administrator’s telephone number |
6019259100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE OF CLINTON, PLLC 401K PROFIT SHARING PLAN
|
2009
|
721399888
|
2013-09-26
|
DENTAL CARE OF CLINTON, PLLC
|
3
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/26/20130926102555P040007542163001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019259100 |
Plan sponsor’s mailing address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Plan sponsor’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Plan administrator’s name and address
Administrator’s EIN |
721399888 |
Plan administrator’s name |
DENTAL CARE OF CLINTON, PLLC |
Plan administrator’s
address |
959 HIGHWAY 80 EAST, CLINTON, MS, 39056 |
Administrator’s telephone number |
6019259100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
CORNELIUS LEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|