FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2023
|
205472685
|
2024-09-11
|
FAMILY DENTAL ASSOCIATES, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2024-09-11 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-11 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2022
|
205472685
|
2023-09-11
|
FAMILY DENTAL ASSOCIATES, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2023-09-11 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-11 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2021
|
205472685
|
2022-09-30
|
FAMILY DENTAL ASSOCIATES, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-30 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2020
|
205472685
|
2021-10-04
|
FAMILY DENTAL ASSOCIATES, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2021-10-02 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-02 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2019
|
205472685
|
2020-10-12
|
FAMILY DENTAL ASSOCIATES, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2020-10-11 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-11 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2018
|
205472685
|
2019-10-11
|
FAMILY DENTAL ASSOCIATES, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-11 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2017
|
205472685
|
2018-09-27
|
FAMILY DENTAL ASSOCIATES, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2018-09-27 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-27 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2016
|
205472685
|
2017-10-12
|
FAMILY DENTAL ASSOCIATES, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-12 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2015
|
205472685
|
2016-09-30
|
FAMILY DENTAL ASSOCIATES, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2016-09-30 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-30 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2014
|
205472685
|
2015-10-08
|
FAMILY DENTAL ASSOCIATES, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6624535536
|
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-08 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2013
|
205472685
|
2014-10-10
|
FAMILY DENTAL ASSOCIATES, PLLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/10/20141010201242P040043661793001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6624535536 |
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069 |
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-10 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2012
|
205472685
|
2013-08-26
|
FAMILY DENTAL ASSOCIATES, PLLC
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/26/20130826150431P040367221571001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6624535536 |
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069 |
Signature of
Role |
Plan administrator |
Date |
2013-08-26 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-26 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2011
|
205472685
|
2012-10-01
|
FAMILY DENTAL ASSOCIATES, PLLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/01/20121001112842P030005119456001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6624535536 |
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069 |
Plan administrator’s name and address
Administrator’s EIN |
205472685 |
Plan administrator’s name |
FAMILY DENTAL ASSOCIATES, PLLC |
Plan administrator’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069 |
Administrator’s telephone number |
6624535536 |
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-01 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2010
|
205472685
|
2011-09-29
|
FAMILY DENTAL ASSOCIATES, PLLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/29/20110929124024P040142648001001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6624535536 |
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069 |
Plan administrator’s name and address
Administrator’s EIN |
205472685 |
Plan administrator’s name |
FAMILY DENTAL ASSOCIATES, PLLC |
Plan administrator’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069 |
Administrator’s telephone number |
6624535536 |
Signature of
Role |
Plan administrator |
Date |
2011-09-29 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-29 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTAL ASSOCIATES, PLLC PROFIT SHARING PLAN
|
2009
|
205472685
|
2010-10-04
|
FAMILY DENTAL ASSOCIATES, PLLC
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/04/20101004110843P070008786161001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6624535536 |
Plan sponsor’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069 |
Plan administrator’s name and address
Administrator’s EIN |
205472685 |
Plan administrator’s name |
FAMILY DENTAL ASSOCIATES, PLLC |
Plan administrator’s
address |
702 HIGHWAY 82 W., SUITE A, GREENWOOD, MS, 389305069 |
Administrator’s telephone number |
6624535536 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
ADAM HODGES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|