THE DENTAL PLACE, INC. 401(K) PLAN
|
2021
|
640904388
|
2022-04-22
|
THE DENTAL PLACE, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019061978
|
Plan sponsor’s
address |
380 HWY 80 EAST, STE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2022-04-22 |
Name of individual signing |
JOEL EVERETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. CASH BALANCE PLAN
|
2020
|
640904388
|
2021-10-29
|
THE DENTAL PLACE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019254753
|
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2021-10-29 |
Name of individual signing |
JOEL EVERETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. CASH BALANCE PLAN
|
2020
|
640904388
|
2021-10-29
|
THE DENTAL PLACE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019254753
|
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2021-10-29 |
Name of individual signing |
JOEL EVERETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2020
|
640904388
|
2021-03-01
|
THE DENTAL PLACE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019061978
|
Plan sponsor’s
address |
380 HWY 80 EAST, STE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2021-03-01 |
Name of individual signing |
JOEL EVERETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. CASH BALANCE PLAN
|
2019
|
640904388
|
2020-10-08
|
THE DENTAL PLACE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019254753
|
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
JOEL EVERETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2019
|
640904388
|
2020-04-02
|
THE DENTAL PLACE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019061978
|
Plan sponsor’s
address |
380 HWY 80 EAST, STE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2020-04-02 |
Name of individual signing |
JOEL EVERETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2018
|
640904388
|
2019-06-25
|
THE DENTAL PLACE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019254727
|
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2019-06-25 |
Name of individual signing |
CHANTEL EVERETT, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2017
|
640904388
|
2018-06-19
|
THE DENTAL PLACE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019254727
|
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2018-06-19 |
Name of individual signing |
CHANTEL EVERETT, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2016
|
640904388
|
2017-06-22
|
THE DENTAL PLACE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019254727
|
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2017-06-22 |
Name of individual signing |
CHANTEL EVERETT, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2015
|
640904388
|
2016-06-29
|
THE DENTAL PLACE, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6019254727
|
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
CHANTEL EVERETT, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2014
|
640904388
|
2015-08-07
|
THE DENTAL PLACE, INC.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/07/20150807142025P030047334509001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019254727 |
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Signature of
Role |
Plan administrator |
Date |
2015-08-07 |
Name of individual signing |
CHANTEL EVERETT, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2013
|
640904388
|
2014-03-03
|
THE DENTAL PLACE, INC.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/03/20140303115136P040238694627002.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019254727 |
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Signature of
Role |
Plan administrator |
Date |
2014-03-03 |
Name of individual signing |
CHANTEL EVERETT, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2012
|
640904388
|
2013-03-12
|
THE DENTAL PLACE, INC.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/12/20130312182447P030166878577001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019254727 |
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Signature of
Role |
Plan administrator |
Date |
2013-03-12 |
Name of individual signing |
CHANTEL EVERETT , DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2011
|
640904388
|
2012-04-24
|
THE DENTAL PLACE, INC.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/24/20120424130835P040014016112001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019254727 |
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Plan administrator’s name and address
Administrator’s EIN |
640904388 |
Plan administrator’s name |
THE DENTAL PLACE, INC. |
Plan administrator’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Administrator’s telephone number |
6019254727 |
Signature of
Role |
Plan administrator |
Date |
2012-04-24 |
Name of individual signing |
CHANTEL EVERETT, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2010
|
640904388
|
2011-07-22
|
THE DENTAL PLACE, INC.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/22/20110722140721P030014411250001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019254727 |
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Plan administrator’s name and address
Administrator’s EIN |
640904388 |
Plan administrator’s name |
THE DENTAL PLACE, INC. |
Plan administrator’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Administrator’s telephone number |
6019254727 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
DR. CHANTEL EVERETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-22 |
Name of individual signing |
DR. CHANTEL EVERETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL PLACE, INC. 401(K) PLAN
|
2009
|
640904388
|
2010-06-25
|
THE DENTAL PLACE, INC.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/25/20100625113406P030033814099001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019254727 |
Plan sponsor’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Plan administrator’s name and address
Administrator’s EIN |
640904388 |
Plan administrator’s name |
THE DENTAL PLACE, INC. |
Plan administrator’s
address |
380 HIGHWAY 80 EAST, SUITE A, CLINTON, MS, 39056 |
Administrator’s telephone number |
6019254727 |
Signature of
Role |
Plan administrator |
Date |
2010-06-25 |
Name of individual signing |
CHANTEL EVERETT, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-25 |
Name of individual signing |
CHANTEL EVERETT, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|