ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2021
|
202070113
|
2022-10-08
|
ENDODONTIC ASSOCIATES, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2022-10-08 |
Name of individual signing |
KRISTY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-08 |
Name of individual signing |
KRISTY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2020
|
202070113
|
2021-03-25
|
ENDODONTIC ASSOCIATES, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2021-03-25 |
Name of individual signing |
KRISTY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-25 |
Name of individual signing |
KRISTY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2019
|
202070113
|
2020-02-19
|
ENDODONTIC ASSOCIATES, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2020-02-19 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-02-19 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2018
|
202070113
|
2019-05-01
|
ENDODONTIC ASSOCIATES, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2019-05-01 |
Name of individual signing |
JEFF PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-01 |
Name of individual signing |
JEFF PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2017
|
202070113
|
2018-04-11
|
ENDODONTIC ASSOCIATES, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2018-04-11 |
Name of individual signing |
JEFFERY B PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-11 |
Name of individual signing |
JEFFERY B PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2016
|
202070113
|
2017-02-14
|
ENDODONTIC ASSOCIATES, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2017-02-14 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-14 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2015
|
202070113
|
2016-07-22
|
ENDODONTIC ASSOCIATES, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-22 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2014
|
202070113
|
2015-07-29
|
ENDODONTIC ASSOCIATES, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-29 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2013
|
202070113
|
2014-07-16
|
ENDODONTIC ASSOCIATES, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-16 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2012
|
202070113
|
2013-05-14
|
ENDODONTIC ASSOCIATES, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018566364
|
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2013-05-14 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-14 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2011
|
202070113
|
2012-05-11
|
ENDODONTIC ASSOCIATES, PLLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/11/20120511104326P030000539878001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1987-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6018566364 |
Plan sponsor’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
202070113 |
Plan administrator’s name |
ENDODONTIC ASSOCIATES, PLLC |
Plan administrator’s
address |
301 NORTHLAKE AVENUE, SUITE 111, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6018566364 |
Signature of
Role |
Plan administrator |
Date |
2012-05-11 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-11 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN & TRUST
|
2010
|
202070113
|
2011-06-16
|
ENDODONTIC ASSOCIATES, PLLC
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/16/20110616165258P040079351409001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1987-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019569940 |
Plan sponsor’s
address |
406 BRIARWOOD DRIVE, SUITE 102, JACKSON, MS, 39206 |
Plan administrator’s name and address
Administrator’s EIN |
202070113 |
Plan administrator’s name |
ENDODONTIC ASSOCIATES, PLLC |
Plan administrator’s
address |
406 BRIARWOOD DRIVE, SUITE 102, JACKSON, MS, 39206 |
Administrator’s telephone number |
6019569940 |
Signature of
Role |
Plan administrator |
Date |
2011-06-16 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-16 |
Name of individual signing |
JEFFERY PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC ASSOCIATES, PLLC RETIREMENT PLAN &TRUS
|
2009
|
202070113
|
2010-09-30
|
ENDODONTIC ASSOCIATES, PLLC
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/30/20100930084830P070000086628001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1987-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6019569940 |
Plan sponsor’s
address |
406 BRIARWOOD DR, SUITE 102, JACKSON, MS, 39206 |
Plan administrator’s name and address
Administrator’s EIN |
202070113 |
Plan administrator’s name |
ENDODONTIC ASSOCIATES, PLLC |
Plan administrator’s
address |
406 BRIARWOOD DR, SUITE 102, JACKSON, MS, 39206 |
Administrator’s telephone number |
6019569940 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
JEFFERY B. PRIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|