MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN
|
2013
|
640927182
|
2014-06-09
|
MAIN STREET FAMILY DENTISTRY, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628400066
|
Plan sponsor’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804
|
|
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN
|
2012
|
640927182
|
2013-06-10
|
MAIN STREET FAMILY DENTISTRY, P.A.
|
9
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628400066
|
Plan sponsor’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN
|
2012
|
640927182
|
2013-06-10
|
MAIN STREET FAMILY DENTISTRY, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628400066
|
Plan sponsor’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN
|
2011
|
640927182
|
2012-10-15
|
MAIN STREET FAMILY DENTISTRY, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628400066
|
Plan sponsor’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804
|
Plan administrator’s name and address
Administrator’s EIN |
640927182 |
Plan administrator’s name |
MAIN STREET FAMILY DENTISTRY, P.A. |
Plan administrator’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804 |
Administrator’s telephone number |
6628400066 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN
|
2011
|
640927182
|
2012-10-15
|
MAIN STREET FAMILY DENTISTRY, P.A.
|
6
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628400066
|
Plan sponsor’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804
|
Plan administrator’s name and address
Administrator’s EIN |
640927182 |
Plan administrator’s name |
MAIN STREET FAMILY DENTISTRY, P.A. |
Plan administrator’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804 |
Administrator’s telephone number |
6628400066 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN
|
2010
|
640927182
|
2012-10-15
|
MAIN STREET FAMILY DENTISTRY, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628400066
|
Plan sponsor’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804
|
Plan administrator’s name and address
Administrator’s EIN |
640927182 |
Plan administrator’s name |
MAIN STREET FAMILY DENTISTRY, P.A. |
Plan administrator’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804 |
Administrator’s telephone number |
6628400066 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN
|
2009
|
640927182
|
2012-10-15
|
MAIN STREET FAMILY DENTISTRY, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628400066
|
Plan sponsor’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804
|
Plan administrator’s name and address
Administrator’s EIN |
640927182 |
Plan administrator’s name |
MAIN STREET FAMILY DENTISTRY, P.A. |
Plan administrator’s
address |
627 W. MAIN STREET, TUPELO, MS, 38804 |
Administrator’s telephone number |
6628400066 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
BRETT HILDENBRAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|