|
G. FORD ROWLAND, D.D.S., M.S. DEFINED BENEFIT PLA
|
2013
|
270606938
|
2014-10-14
|
G. FORD ROWLAND, DDS, MS, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018564428
|
| Plan sponsor’s
address |
2028 SILVER LANE, MADISON, MS, 39110
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-14 |
| Name of individual signing |
G. FORD ROWLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-10-14 |
| Name of individual signing |
G. FORD ROWLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
G. FORD ROWLAND, D.D.S., M.S. DEFINED BENEFIT PLA
|
2012
|
270606938
|
2013-10-13
|
G. FORD ROWLAND, DDS, MS, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018564428
|
| Plan sponsor’s
address |
2028 SILVER LANE, MADISON, MS, 39110
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-13 |
| Name of individual signing |
G. FORD ROWLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
G. FORD ROWLAND, D.D.S., M.S. DEFINED BENEFIT PLA
|
2011
|
270606938
|
2012-10-13
|
G. FORD ROWLAND, DDS, MS, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018564428
|
| Plan sponsor’s
address |
2028 SILVER LANE, MADISON, MS, 39110
|
Plan administrator’s name and address
| Administrator’s EIN |
270606938 |
| Plan administrator’s name |
G. FORD ROWLAND, DDS, MS, PLLC |
| Plan administrator’s
address |
2028 SILVER LANE, MADISON, MS, 39110 |
| Administrator’s telephone number |
6018564428 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-12 |
| Name of individual signing |
G. FORD ROWLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
G. FORD ROWLAND, D.D.S., M.S. DEFINED BENEFIT PLA
|
2010
|
270606938
|
2011-10-17
|
G. FORD ROWLAND, DDS, MS, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018564428
|
| Plan sponsor’s
address |
2028 SILVER LANE, MADISON, MS, 39110
|
Plan administrator’s name and address
| Administrator’s EIN |
270606938 |
| Plan administrator’s name |
G. FORD ROWLAND, DDS, MS, PLLC |
| Plan administrator’s
address |
2028 SILVER LANE, MADISON, MS, 39110 |
| Administrator’s telephone number |
6018564428 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-17 |
| Name of individual signing |
G. FORD ROWLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
G. FORD ROWLAND, D.D.S., M.S. DEFINED BENEFIT PLA
|
2009
|
270606938
|
2010-10-14
|
G. FORD ROWLAND, DDS, MS, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6018564428
|
| Plan sponsor’s
address |
2028 SILVER LANE, MADISON, MS, 39110
|
Plan administrator’s name and address
| Administrator’s EIN |
270606938 |
| Plan administrator’s name |
G. FORD ROWLAND, DDS, MS, PLLC |
| Plan administrator’s
address |
2028 SILVER LANE, MADISON, MS, 39110 |
| Administrator’s telephone number |
6018564428 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-14 |
| Name of individual signing |
G. FORD ROWLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
