TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2023
|
900714760
|
2024-09-20
|
TERRACE HILL DENTAL CENTER, PLLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2024-09-20 |
Name of individual signing |
REAGAN BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2022
|
900714760
|
2023-09-29
|
TERRACE HILL DENTAL CENTER, PLLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2023-09-29 |
Name of individual signing |
REAGAN BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2021
|
900714760
|
2022-09-15
|
TERRACE HILL DENTAL CENTER, PLLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2022-09-15 |
Name of individual signing |
REAGAN BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2020
|
900714760
|
2021-10-14
|
TERRACE HILL DENTAL CENTER, PLLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
ROBERT WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2019
|
900714760
|
2020-10-06
|
TERRACE HILL DENTAL CENTER, PLLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2020-10-06 |
Name of individual signing |
ROBERT WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2018
|
900714760
|
2019-10-11
|
TERRACE HILL DENTAL CENTER, PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
ROBERT WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2017
|
900714760
|
2018-10-12
|
TERRACE HILL DENTAL CENTER, PLLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
ROBERT WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2016
|
900714760
|
2017-10-16
|
TERRACE HILL DENTAL CENTER, PLLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
ROBERT WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2015
|
900714760
|
2017-10-16
|
TERRACE HILL DENTAL CENTER, PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
ROBERT WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2015
|
900714760
|
2016-10-17
|
TERRACE HILL DENTAL CENTER, PLLC
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6012645756
|
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
ROBERT WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2014
|
900714760
|
2015-10-07
|
TERRACE HILL DENTAL CENTER, PLLC
|
0
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2014-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6012645756 |
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402 |
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
JAMES HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TERRACE HILL DENTAL CENTER, PLLC 401(K) PLAN
|
2014
|
900714760
|
2015-12-22
|
TERRACE HILL DENTAL CENTER, PLLC
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/12/22/20151222152612P040119907063001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2014-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6012645756 |
Plan sponsor’s
address |
6654 US HIGHWAY 98, HATTIESBURG, MS, 39402 |
Signature of
Role |
Plan administrator |
Date |
2015-12-22 |
Name of individual signing |
ROBERT WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|