WINDSTONE DENTAL 401(K) PLAN
|
2023
|
454024091
|
2024-07-18
|
WINDSTONE DENTAL, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628745917
|
Plan sponsor’s
address |
4824 GOODMAN ROAD, OLIVE BRANCH, MS, 38654
|
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
DANIEL SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WINDSTONE DENTAL 401(K) PLAN
|
2022
|
454024091
|
2023-07-27
|
WINDSTONE DENTAL, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628745917
|
Plan sponsor’s
address |
4824 GOODMAN ROAD, OLIVE BRANCH, MS, 38654
|
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
DANIEL SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WINDSTONE DENTAL 401(K) PLAN
|
2021
|
454024091
|
2022-07-18
|
WINDSTONE DENTAL, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628745917
|
Plan sponsor’s
address |
4824 GOODMAN ROAD, OLIVE BRANCH, MS, 38654
|
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
DANIEL SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WINDSTONE DENTAL 401(K) PLAN
|
2020
|
454024091
|
2021-08-31
|
WINDSTONE DENTAL, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628745917
|
Plan sponsor’s
address |
4824 GOODMAN ROAD, OLIVE BRANCH, MS, 38654
|
Signature of
Role |
Plan administrator |
Date |
2021-08-31 |
Name of individual signing |
DANIEL RHETT SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-31 |
Name of individual signing |
DANIEL SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WINDSTONE DENTAL 401(K) PLAN
|
2019
|
454024091
|
2020-07-17
|
WINDSTONE DENTAL, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628745917
|
Plan sponsor’s
address |
4824 GOODMAN ROAD, OLIVE BRANCH, MS, 38654
|
Signature of
Role |
Plan administrator |
Date |
2020-07-17 |
Name of individual signing |
DANIEL RHETT SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-17 |
Name of individual signing |
DANIEL RHETT SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WINDSTONE DENTAL 401(K) PLAN
|
2018
|
454024091
|
2019-10-03
|
WINDSTONE DENTAL, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628745917
|
Plan sponsor’s
address |
4824 GOODMAN ROAD, OLIVE BRANCH, MS, 38654
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
DANIEL RHETT SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
RHETT SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WINDSTONE DENTAL 401(K) PLAN
|
2017
|
454024091
|
2018-07-23
|
WINDSTONE DENTAL, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6628745917
|
Plan sponsor’s
address |
4824 GOODMAN ROAD, OLIVE BRANCH, MS, 38654
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
DANIEL RHETT SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-23 |
Name of individual signing |
RHETT SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|