GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2023
|
454195712
|
2024-08-27
|
GADDIS FAMILY DENTISTRY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2024-08-27 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2022
|
454195712
|
2023-07-06
|
GADDIS FAMILY DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2023-07-06 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2021
|
454195712
|
2022-07-17
|
GADDIS FAMILY DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2022-07-17 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2020
|
454195712
|
2021-07-06
|
GADDIS FAMILY DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2021-07-06 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2019
|
454195712
|
2020-06-05
|
GADDIS FAMILY DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2020-06-05 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2018
|
454195712
|
2019-06-04
|
GADDIS FAMILY DENTISTRY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2019-06-04 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2017
|
454195712
|
2018-06-18
|
GADDIS FAMILY DENTISTRY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2016
|
454195712
|
2017-07-10
|
GADDIS FAMILY DENTISTRY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2017-07-10 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2015
|
454195712
|
2016-07-05
|
GADDIS FAMILY DENTISTRY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2016-07-05 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2014
|
454195712
|
2015-03-09
|
GADDIS FAMILY DENTISTRY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6016937918
|
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183
|
Signature of
Role |
Plan administrator |
Date |
2015-03-09 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-09 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2013
|
454195712
|
2014-04-03
|
GADDIS FAMILY DENTISTRY
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/03/20140403155720P030326782305001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937918 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Signature of
Role |
Plan administrator |
Date |
2014-04-03 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-03 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2012
|
454195712
|
2013-08-29
|
GADDIS FAMILY DENTISTRY
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/29/20130829111341P040371359715001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937918 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Signature of
Role |
Plan administrator |
Date |
2013-08-29 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-29 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2011
|
454195712
|
2012-12-03
|
GADDIS FAMILY DENTISTRY
|
3
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/12/03/20121203135343P040030423489001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937918 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Plan administrator’s name and address
Administrator’s EIN |
454195712 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Administrator’s telephone number |
6016937918 |
Signature of
Role |
Plan administrator |
Date |
2012-12-03 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-03 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2011
|
454195712
|
2012-08-27
|
GADDIS FAMILY DENTISTRY
|
3
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937918 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Plan administrator’s name and address
Administrator’s EIN |
454195712 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Administrator’s telephone number |
6016937918 |
Signature of
Role |
Plan administrator |
Date |
2012-08-27 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-27 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2010
|
640938570
|
2012-02-05
|
GADDIS FAMILY DENTISTRY
|
3
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/02/05/20120205162107P030009924103001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937913 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Plan administrator’s name and address
Administrator’s EIN |
640938570 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Administrator’s telephone number |
6016937913 |
Signature of
Role |
Plan administrator |
Date |
2012-02-05 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-05 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2009
|
640938570
|
2010-10-15
|
GADDIS FAMILY DENTISTRY
|
3
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937913 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Plan administrator’s name and address
Administrator’s EIN |
640938570 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Administrator’s telephone number |
6016937913 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2009
|
640938570
|
2010-10-18
|
GADDIS FAMILY DENTISTRY
|
3
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937913 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Plan administrator’s name and address
Administrator’s EIN |
640938570 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Administrator’s telephone number |
6016937913 |
Signature of
Role |
Plan administrator |
Date |
2010-10-18 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2009
|
640938570
|
2010-10-20
|
GADDIS FAMILY DENTISTRY
|
3
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/20/20101020085036P030005262103001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937913 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Plan administrator’s name and address
Administrator’s EIN |
640938570 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Administrator’s telephone number |
6016937913 |
Signature of
Role |
Plan administrator |
Date |
2010-10-20 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-20 |
Name of individual signing |
ANDREA GADDIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GADDIS FAMILY DENTISTRY PROFIT SHARING PLAN
|
2009
|
640938570
|
2010-10-17
|
GADDIS FAMILY DENTISTRY
|
3
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6016937913 |
Plan sponsor’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Plan administrator’s name and address
Administrator’s EIN |
640938570 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
1426 SUMMER SEAT ROAD, VICKSBURG, MS, 39183 |
Administrator’s telephone number |
6016937913 |
Signature of
Role |
Plan administrator |
Date |
2010-10-16 |
Name of individual signing |
JASMINEBUCK01 |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-16 |
Name of individual signing |
JASMINEBUCK01 |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|