KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2020
|
610932740
|
2021-03-15
|
KLEIN DENTAL GROUP, P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2021-03-15 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2019
|
610932740
|
2020-06-29
|
KLEIN DENTAL GROUP, P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2020-06-29 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2018
|
610932740
|
2019-01-31
|
KLEIN DENTAL GROUP, P.S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2019-01-31 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2017
|
610932740
|
2018-05-08
|
KLEIN DENTAL GROUP, P.S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2018-05-08 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2016
|
610932740
|
2017-05-16
|
KLEIN DENTAL GROUP, P.S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2017-05-16 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2015
|
610932740
|
2016-02-22
|
KLEIN DENTAL GROUP, P.S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2016-02-22 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2014
|
610932740
|
2015-05-20
|
KLEIN DENTAL GROUP, P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2015-05-20 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2013
|
610932740
|
2014-05-19
|
KLEIN DENTAL GROUP, P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2014-05-19 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2012
|
610932740
|
2013-06-24
|
KLEIN DENTAL GROUP, P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2013-06-24 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2011
|
610932740
|
2012-05-11
|
KLEIN DENTAL GROUP, P.S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028962822
|
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
610932740 |
Plan administrator’s name |
KLEIN DENTAL GROUP, P.S.C. |
Plan administrator’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028962822 |
Signature of
Role |
Plan administrator |
Date |
2012-05-11 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2010
|
610932740
|
2011-06-08
|
KLEIN DENTAL GROUP, P.S.C.
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/08/20110608183810P040339625392001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1984-04-01 |
Business code |
621210 |
Sponsor’s telephone number |
5028962822 |
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
610932740 |
Plan administrator’s name |
KLEIN DENTAL GROUP, P.S.C. |
Plan administrator’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028962822 |
Signature of
Role |
Plan administrator |
Date |
2011-06-08 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLEIN DENTAL GROUP, P.S.C. RETIREMENT SAVINGS PLAN
|
2009
|
610932740
|
2010-07-04
|
KLEIN DENTAL GROUP, P.S.C.
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/04/20100704102520P040086627512001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1987-04-01 |
Business code |
621210 |
Sponsor’s telephone number |
5028962822 |
Plan sponsor’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
610932740 |
Plan administrator’s name |
KLEIN DENTAL GROUP, P.S.C. |
Plan administrator’s
address |
156 THIERMAN LN, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028962822 |
Signature of
Role |
Plan administrator |
Date |
2010-07-04 |
Name of individual signing |
JEFFREY M. KLEIN, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|