PERIOIMPLANT ASSOCIATES, P.S.C PROFIT SHARING PLAN
|
2014
|
610914114
|
2015-06-03
|
PERIOIMPLANT ASSOCIATES, P.S.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028979417
|
Plan sponsor’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812
|
Plan administrator’s name and address
Administrator’s EIN |
610914114 |
Plan administrator’s name |
PERIOIMPLANT ASSOCIATES, P.S.C. |
Plan administrator’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812 |
Administrator’s telephone number |
5028979417 |
Signature of
Role |
Plan administrator |
Date |
2015-06-03 |
Name of individual signing |
EDMOND R. BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIOIMPLANT ASSOCIATES, P.S.C PROFIT SHARING PLAN
|
2013
|
610914114
|
2014-05-20
|
PERIOIMPLANT ASSOCIATES, P.S.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028979417
|
Plan sponsor’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812
|
Plan administrator’s name and address
Administrator’s EIN |
610914114 |
Plan administrator’s name |
PERIOIMPLANT ASSOCIATES, P.S.C. |
Plan administrator’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812 |
Administrator’s telephone number |
5028979417 |
Signature of
Role |
Plan administrator |
Date |
2014-05-20 |
Name of individual signing |
EDMOND R. BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIOIMPLANT ASSOCIATES, P.S.C PROFIT SHARING PLAN
|
2012
|
610914114
|
2013-05-16
|
PERIOIMPLANT ASSOCIATES, P.S.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028979417
|
Plan sponsor’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812
|
Plan administrator’s name and address
Administrator’s EIN |
610914114 |
Plan administrator’s name |
PERIOIMPLANT ASSOCIATES, P.S.C. |
Plan administrator’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812 |
Administrator’s telephone number |
5028979417 |
Signature of
Role |
Plan administrator |
Date |
2013-05-16 |
Name of individual signing |
EDMOND R. BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIOIMPLANT ASSOCIATES, P.S.C PROFIT SHARING PLAN
|
2011
|
610914114
|
2012-02-29
|
PERIOIMPLANT ASSOCIATES, P.S.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028979417
|
Plan sponsor’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812
|
Plan administrator’s name and address
Administrator’s EIN |
610914114 |
Plan administrator’s name |
PERIOIMPLANT ASSOCIATES, P.S.C. |
Plan administrator’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812 |
Administrator’s telephone number |
5028979417 |
Signature of
Role |
Plan administrator |
Date |
2012-02-29 |
Name of individual signing |
GREGORY ALBRIGHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL ASSOCIATES, P.S.C PROFIT SHARING PLAN
|
2010
|
610914114
|
2011-06-27
|
PERIOIMPLANT ASSOCIATES, P.S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028979417
|
Plan sponsor’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812
|
Plan administrator’s name and address
Administrator’s EIN |
610914114 |
Plan administrator’s name |
PERIOIMPLANT ASSOCIATES, P.S.C. |
Plan administrator’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812 |
Administrator’s telephone number |
5028979417 |
Signature of
Role |
Plan administrator |
Date |
2011-06-27 |
Name of individual signing |
GREGORY ALBRIGHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL ASSOCIATES, P.S.C PROFIT SHARING PLAN
|
2009
|
610914114
|
2010-08-16
|
PERIOIMPLANT ASSOCIATES, P.S.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028979417
|
Plan sponsor’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812
|
Plan administrator’s name and address
Administrator’s EIN |
610914114 |
Plan administrator’s name |
PERIOIMPLANT ASSOCIATES, P.S.C. |
Plan administrator’s
address |
4010 DUPONT CIRCLE , SUITE 524, LOUISVILLE, KY, 402074812 |
Administrator’s telephone number |
5028979417 |
Signature of
Role |
Plan administrator |
Date |
2010-08-14 |
Name of individual signing |
GREGORY ALBRIGHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-14 |
Name of individual signing |
GREGORY ALBRIGHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|