PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2022
|
202172770
|
2023-10-05
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
41 COUNTRY ROAD 164, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2023-10-05 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2021
|
202172770
|
2023-10-05
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
41 COUNTRY ROAD 164, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2023-10-05 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2021
|
202172770
|
2022-10-11
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
16
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
41 COUNTRY ROAD 164, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2020
|
202172770
|
2021-10-11
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2019
|
202172770
|
2020-10-11
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2020-10-11 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2018
|
202172770
|
2020-10-11
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2020-10-11 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2018
|
202172770
|
2019-10-08
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2019-10-08 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2017
|
202172770
|
2018-10-08
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2018-10-08 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2016
|
202172770
|
2017-10-16
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2015
|
202172770
|
2016-09-27
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6623349337
|
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2016-09-27 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2014
|
202172770
|
2015-09-09
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/09/20150909141730P040050426423001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6623349337 |
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Signature of
Role |
Plan administrator |
Date |
2015-09-09 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2013
|
202172770
|
2014-07-03
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/03/20140703155059P040007859919001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6623349337 |
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2012
|
202172770
|
2013-10-11
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/11/20131011103427P030014440949001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6623349337 |
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2011
|
202172770
|
2012-10-10
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/10/20121010112007P030000885956001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6623349337 |
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Plan administrator’s name and address
Administrator’s EIN |
202172770 |
Plan administrator’s name |
PEDIATRIC DENTAL SPECIALISTS, PLLC |
Plan administrator’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Administrator’s telephone number |
6623349337 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2010
|
202172770
|
2011-10-17
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017113338P040154807761001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6623349337 |
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Plan administrator’s name and address
Administrator’s EIN |
202172770 |
Plan administrator’s name |
PEDIATRIC DENTAL SPECIALISTS, PLLC |
Plan administrator’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Administrator’s telephone number |
6623349337 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALISTS, PLLC RETIREMENT PLAN & TRUST
|
2009
|
202172770
|
2010-10-01
|
PEDIATRIC DENTAL SPECIALISTS, PLLC
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/01/20101001065715P030000167780001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6623349337 |
Plan sponsor’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Plan administrator’s name and address
Administrator’s EIN |
202172770 |
Plan administrator’s name |
PEDIATRIC DENTAL SPECIALISTS, PLLC |
Plan administrator’s
address |
837 SOUTH MAIN STREET, GREENVILLE, MS, 38701 |
Administrator’s telephone number |
6623349337 |
Signature of
Role |
Plan administrator |
Date |
2010-10-01 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-01 |
Name of individual signing |
W. NEIL QUINTON, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|