|
WREN PEDIATRIC DENTISTRY 401(K) P/S PLAN
|
2013
|
208229657
|
2014-11-12
|
WREN PEDIATRIC DENTISTRY, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018240093
|
| Plan sponsor’s
address |
1390 WEST GOVERNMENT STREET SUITE B, BRANDON, MS, 39042
|
Signature of
| Role |
Plan administrator |
| Date |
2014-11-12 |
| Name of individual signing |
JOSH WREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WREN PEDIATRIC DENTISTRY 401(K) P/S PLAN
|
2013
|
208229657
|
2014-05-08
|
WREN PEDIATRIC DENTISTRY, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018240093
|
| Plan sponsor’s
address |
1390 WEST GOVERNMENT STREET, SUITE B, BRANDON, MS, 39042
|
Plan administrator’s name and address
| Administrator’s EIN |
208229657 |
| Plan administrator’s name |
WREN PEDIATRIC DENTISTRY, PLLC |
| Plan administrator’s
address |
1390 WEST GOVERNMENT STREET, SUITE B, BRANDON, MS, 39042 |
| Administrator’s telephone number |
6018240093 |
Signature of
| Role |
Plan administrator |
| Date |
2014-05-08 |
| Name of individual signing |
ALEXIS WREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WREN PEDIATRIC DENTISTRY 401(K) P/S PLAN
|
2012
|
208229657
|
2013-06-12
|
WREN PEDIATRIC DENTISTRY, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018240093
|
| Plan sponsor’s
address |
1390 WEST GOVERNMENT STREET, SUITE B, BRANDON, MS, 39042
|
Plan administrator’s name and address
| Administrator’s EIN |
208229657 |
| Plan administrator’s name |
WREN PEDIATRIC DENTISTRY, PLLC |
| Plan administrator’s
address |
1390 WEST GOVERNMENT STREET, SUITE B, BRANDON, MS, 39042 |
| Administrator’s telephone number |
6018240093 |
Signature of
| Role |
Plan administrator |
| Date |
2013-06-12 |
| Name of individual signing |
JOSHUA WREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WREN PEDIATRIC DENTISTRY 401(K) P/S PLAN
|
2011
|
208229657
|
2012-07-15
|
WREN PEDIATRIC DENTISTRY, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018240093
|
| Plan sponsor’s
address |
1390 WEST GOVERNMENT STREET, SUITE B, BRANDON, MS, 39042
|
Plan administrator’s name and address
| Administrator’s EIN |
208229657 |
| Plan administrator’s name |
WREN PEDIATRIC DENTISTRY, PLLC |
| Plan administrator’s
address |
1390 WEST GOVERNMENT STREET, SUITE B, BRANDON, MS, 39042 |
| Administrator’s telephone number |
6018240093 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-15 |
| Name of individual signing |
JOSH WREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
