LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2023
|
640752774
|
2024-03-06
|
LEBLANC ORTHODONTICS, P. A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2024-03-06 |
Name of individual signing |
CHRISTY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2022
|
640752774
|
2023-06-06
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2023-06-06 |
Name of individual signing |
CHRISTY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2021
|
640752774
|
2022-07-28
|
LEBLANC ORTHODONTICS, P. A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
JEFFREY S LEBLANC, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-28 |
Name of individual signing |
JEFFREY S LEBLANC, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2020
|
640752774
|
2021-03-31
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2021-03-31 |
Name of individual signing |
JEFFREY S LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-31 |
Name of individual signing |
JEFFREY S LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2019
|
640752774
|
2021-03-29
|
LEBLANC ORTHODONTICS, P. A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2021-03-29 |
Name of individual signing |
CHRISTY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-29 |
Name of individual signing |
CHRISTY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2019
|
640752774
|
2020-05-04
|
LEBLANC ORTHODONTICS, P. A.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2020-05-04 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-04 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2018
|
640752774
|
2019-09-12
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2019-09-12 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-12 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2017
|
640752774
|
2018-09-25
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2018-09-25 |
Name of individual signing |
JEFFREY STUART LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-25 |
Name of individual signing |
JEFFREY STUART LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2016
|
640752774
|
2017-06-20
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2017-06-20 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-20 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2015
|
640752774
|
2016-08-04
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016493471
|
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440
|
Signature of
Role |
Plan administrator |
Date |
2016-08-04 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-04 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2014
|
640752774
|
2015-04-16
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/04/16/20150416113440P040178040343001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1988-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016493471 |
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Signature of
Role |
Plan administrator |
Date |
2015-04-16 |
Name of individual signing |
JEFFREY S. LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-16 |
Name of individual signing |
JEFFREY S. LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2013
|
640752774
|
2014-07-23
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/23/20140723111926P030052954919001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1988-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016493471 |
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Signature of
Role |
Plan administrator |
Date |
2014-07-23 |
Name of individual signing |
JEFFREY S. LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-23 |
Name of individual signing |
JEFFREY S. LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2012
|
640752774
|
2013-07-30
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/30/20130730162448P030320549683001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1988-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016493471 |
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-30 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2011
|
640752774
|
2012-07-12
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/12/20120712093121P040004524912001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1988-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016493471 |
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Plan administrator’s name and address
Administrator’s EIN |
640752774 |
Plan administrator’s name |
LEBLANC ORTHODONTICS, P. A. |
Plan administrator’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Administrator’s telephone number |
6016493471 |
Signature of
Role |
Plan administrator |
Date |
2012-07-12 |
Name of individual signing |
JEFFREY S. LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-12 |
Name of individual signing |
JEFFREY S. LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2010
|
640752774
|
2011-05-09
|
LEBLANC ORTHODONTICS, P. A.
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/09/20110509133003P030263406608001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1988-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016493471 |
Plan sponsor’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Plan administrator’s name and address
Administrator’s EIN |
640752774 |
Plan administrator’s name |
LEBLANC ORTHODONTICS, P. A. |
Plan administrator’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Administrator’s telephone number |
6016493471 |
Signature of
Role |
Plan administrator |
Date |
2011-05-09 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-09 |
Name of individual signing |
JEFFREY LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBLANC ORTHODONTICS, P.A. PROFIT SHARING PLAN
|
2009
|
640752774
|
2010-07-16
|
LEBLANC ORTHODONTICS, P. A.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/16/20100716132148P070005685555001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1988-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016493471 |
Plan sponsor’s mailing address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Plan sponsor’s
address |
LEBLANC ORTHODONTICS, P.A., 1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Plan administrator’s name and address
Administrator’s EIN |
640752774 |
Plan administrator’s name |
LEBLANC ORTHODONTICS, P. A. |
Plan administrator’s
address |
1500 WEST 12TH STREET, LAUREL, MS, 39440 |
Administrator’s telephone number |
6016493471 |
Number of participants as of the end of the plan year
Active participants |
11 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
11 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-16 |
Name of individual signing |
JEFFREY S. LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-16 |
Name of individual signing |
JEFFREY S. LEBLANC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|