LEE FAMILY DENTAL RETIREMENT PLAN
|
2023
|
274169795
|
2024-07-22
|
PRESTON HUGH LEE, III, DDS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2024-07-22 |
Name of individual signing |
PRESTON H. LEE, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-22 |
Name of individual signing |
ELISE H. LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2022
|
274169795
|
2023-07-24
|
PRESTON HUGH LEE, III, DDS, PA
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
PRESTON H. LEE, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-24 |
Name of individual signing |
ELISE H. LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2021
|
274169795
|
2022-07-11
|
PRESTON HUGH LEE, III, DDS, PA
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2022-07-11 |
Name of individual signing |
PRESTON H. LEE, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-29 |
Name of individual signing |
ELISE H. LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2020
|
274169795
|
2021-06-14
|
PRESTON HUGH LEE, III, DDS, PA
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2021-06-14 |
Name of individual signing |
PRESTON H. LEE, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-14 |
Name of individual signing |
ELISE H. LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2019
|
274169795
|
2020-06-03
|
PRESTON HUGH LEE, III, DDS, PA
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2020-06-03 |
Name of individual signing |
PRESTON H. LEE, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-20 |
Name of individual signing |
ELISE H. LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2018
|
274169795
|
2019-06-18
|
PRESTON HUGH LEE, III, DDS, PA
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
PRESTON H. LEE, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-11 |
Name of individual signing |
ELISE H. LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2017
|
274169795
|
2018-07-16
|
PRESTON HUGH LEE, III, DDS, PA
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1202 OFFICE PARK DRIVE, SUITE C, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
PRESTON H. LEE, III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-16 |
Name of individual signing |
ELISE H. LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2016
|
274169795
|
2017-08-28
|
PRESTON HUGH LEE, III, DDS, PA
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2017-08-28 |
Name of individual signing |
PRESTON LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-28 |
Name of individual signing |
PRESTON LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2015
|
274169795
|
2016-08-26
|
PRESTON HUGH LEE, III, DDS, PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2016-08-26 |
Name of individual signing |
PRESTON LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-26 |
Name of individual signing |
PRESTON LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2014
|
274169795
|
2015-08-18
|
PRESTON HUGH LEE, III, DDS, PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6625130055
|
Plan sponsor’s
address |
1201 OFFICE PARK DRIVE, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2015-08-18 |
Name of individual signing |
PRESTON LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-18 |
Name of individual signing |
PRESTON LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE FAMILY DENTAL RETIREMENT PLAN
|
2013
|
274169795
|
2014-07-22
|
PRESTON HUGH LEE, III, DDS, PA
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/22/20140722120315P030019740205001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6625130055 |
Plan sponsor’s
address |
1202 OFFICE PARK DRIVE, SUITE C, OXFORD, MS, 38655 |
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
KAREN CROCKER LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-22 |
Name of individual signing |
KAREN CROCKER LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|