ARRINGTON DENTAL 401K PROFIT SHARING PLAN
|
2016
|
263234105
|
2017-09-26
|
ARRINGTON DENTAL, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-10-01
|
Business code |
621210
|
Plan sponsor’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2017-09-26 |
Name of individual signing |
ELIJAH ARRINGTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARRINGTON DENTAL 401K PROFIT SHARING PLAN
|
2015
|
263234105
|
2016-07-29
|
ARRINGTON DENTAL, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-10-01
|
Business code |
621210
|
Plan sponsor’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206
|
|
ARRINGTON DENTAL 401K PROFIT SHARING PLAN
|
2014
|
263234105
|
2015-09-16
|
ARRINGTON DENTAL, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-10-01
|
Business code |
812990
|
Plan sponsor’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2015-09-16 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARRINGTON DENTAL 401K PROFIT SHARING PLAN
|
2013
|
263234105
|
2014-06-24
|
ARRINGTON DENTAL, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-10-01
|
Business code |
812990
|
Plan sponsor’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2014-06-24 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-24 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARRINGTON DENTAL 401K PROFIT SHARING PLAN
|
2012
|
263234105
|
2013-07-03
|
ARRINGTON DENTAL, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-10-01
|
Business code |
812990
|
Plan sponsor’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-03 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARRINGTON DENTAL 401K PROFIT SHARING PLAN
|
2011
|
263234105
|
2012-06-19
|
ARRINGTON DENTAL, LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-10-01
|
Business code |
812990
|
Plan sponsor’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
263234105 |
Plan administrator’s name |
ARRINGTON DENTAL, LLC |
Plan administrator’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARRINGTON DENTAL 401K PROFIT SHARING PLAN
|
2011
|
263234105
|
2012-06-29
|
ARRINGTON DENTAL, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-10-01
|
Business code |
812990
|
Plan sponsor’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
263234105 |
Plan administrator’s name |
ARRINGTON DENTAL, LLC |
Plan administrator’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206 |
Signature of
Role |
Plan administrator |
Date |
2012-06-29 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-29 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARRINGTON DENTAL 401K PROFIT SHARING PLAN
|
2010
|
263234105
|
2011-05-20
|
ARRINGTON DENTAL, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-10-01
|
Business code |
812990
|
Sponsor’s telephone number |
6017141668
|
Plan sponsor’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
263234105 |
Plan administrator’s name |
ARRINGTON DENTAL, LLC |
Plan administrator’s
address |
4562 NORTH STATE ST., JACKSON, MS, 39206 |
Administrator’s telephone number |
6017141668 |
Signature of
Role |
Plan administrator |
Date |
2011-05-20 |
Name of individual signing |
ELIJAH ARRINGTON, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-20 |
Name of individual signing |
J. WILEY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|