KILN DENTAL CENTER 401(K) PLAN
|
2020
|
273940925
|
2021-09-21
|
KILN DENTAL CENTER, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2020
|
273940925
|
2021-03-22
|
KILN DENTAL CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2019
|
273940925
|
2020-06-24
|
KILN DENTAL CENTER, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2018
|
273940925
|
2019-09-26
|
KILN DENTAL CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2017
|
273940925
|
2018-09-17
|
KILN DENTAL CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2016
|
273940925
|
2017-07-25
|
KILN DENTAL CENTER, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
PATRICK SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2016
|
273940925
|
2017-07-25
|
KILN DENTAL CENTER, LLC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
PATRICK SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2015
|
273940925
|
2016-07-12
|
KILN DENTAL CENTER, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
PATRICK SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2014
|
273940925
|
2015-07-14
|
KILN DENTAL CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
PATRICK SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2013
|
273940925
|
2014-06-20
|
KILN DENTAL CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-03-25
|
Business code |
621210
|
Sponsor’s telephone number |
2282550882
|
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556
|
Signature of
Role |
Plan administrator |
Date |
2014-06-20 |
Name of individual signing |
PATRICK W. SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-20 |
Name of individual signing |
PATRICK W. SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2012
|
273940925
|
2013-07-19
|
KILN DENTAL CENTER, LLC
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/19/20130719145805P040113323829001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2011-03-25 |
Business code |
621210 |
Sponsor’s telephone number |
2282550882 |
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556 |
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
PATRICK W. SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-19 |
Name of individual signing |
PATRICK W. SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KILN DENTAL CENTER 401(K) PLAN
|
2011
|
273940925
|
2012-08-16
|
KILN DENTAL CENTER, LLC
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/16/20120816145228P040002774099001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2011-03-25 |
Business code |
621210 |
Sponsor’s telephone number |
2282550882 |
Plan sponsor’s
address |
P.O. BOX 1300, KILN, MS, 39556 |
Plan administrator’s name and address
Administrator’s EIN |
273940925 |
Plan administrator’s name |
KILN DENTAL CENTER, LLC |
Plan administrator’s
address |
P.O. BOX 1300, KILN, MS, 39556 |
Administrator’s telephone number |
2282550882 |
Signature of
Role |
Plan administrator |
Date |
2012-08-16 |
Name of individual signing |
PATRICK W. SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-16 |
Name of individual signing |
PATRICK W. SUFFERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|