G. DODD BRISTER, JR. D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
640948259
|
2022-03-14
|
G. DODD BRISTER, JR., DDS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018245878
|
Plan sponsor’s
address |
3007 GREENFIELD ROAD, PEARL, MS, 39208
|
Signature of
Role |
Plan administrator |
Date |
2022-03-14 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-03-14 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
G. DODD BRISTER, JR. D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
640948259
|
2021-09-28
|
G. DODD BRISTER, JR., DDS, PA
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018245878
|
Plan sponsor’s
address |
3007 GREENFIELD ROAD, PEARL, MS, 39208
|
Signature of
Role |
Plan administrator |
Date |
2021-09-28 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-28 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
G. DODD BRISTER, JR. D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
640948259
|
2020-02-25
|
G. DODD BRISTER, JR., DDS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018245878
|
Plan sponsor’s
address |
3007 GREENFIELD ROAD, PEARL, MS, 39208
|
Signature of
Role |
Plan administrator |
Date |
2020-02-25 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-02-25 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
G. DODD BRISTER, JR. D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
640948259
|
2019-03-11
|
G. DODD BRISTER, JR., DDS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018245878
|
Plan sponsor’s
address |
3007 GREENFIELD ROAD, PEARL, MS, 39208
|
Signature of
Role |
Plan administrator |
Date |
2019-03-11 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-11 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
G. DODD BRISTER, JR. D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
640948259
|
2018-03-02
|
G. DODD BRISTER, JR., DDS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018245878
|
Plan sponsor’s
address |
3007 GREENFIELD ROAD, PEARL, MS, 39208
|
Signature of
Role |
Plan administrator |
Date |
2018-03-02 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-02 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
G. DODD BRISTER, JR. D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
640948259
|
2017-07-27
|
G. DODD BRISTER, JR., DDS, PA
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018245878
|
Plan sponsor’s
address |
3007 GREENFIELD ROAD, PEARL, MS, 39208
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
G. DODD BRISTER, JR. D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
640948259
|
2016-04-27
|
G. DODD BRISTER, JR., DDS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018245878
|
Plan sponsor’s
address |
3007 GREENFIELD ROAD, PEARL, MS, 39208
|
Signature of
Role |
Plan administrator |
Date |
2016-04-27 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-27 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
G. DODD BRISTER, JR., DDS, PA 401(K) PROFIT SHARING PLAN
|
2014
|
640948259
|
2015-06-11
|
G. DODD BRISTER, JR., DDS, PA
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6018245878
|
Plan sponsor’s
address |
3007 GREENFIELD ROAD, PEARL, MS, 39208
|
Signature of
Role |
Plan administrator |
Date |
2015-06-11 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-11 |
Name of individual signing |
GERALD BRISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|