MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
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2019
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113687528
|
2020-04-17
|
MICHELE BEELER, D.M.D.
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3
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8592279244
|
Plan sponsor’s
address |
1066 BLUEGRASS PIKE, DANVILLE, KY, 40422
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
1066 BLUEGRASS PIKE, DANVILLE, KY, 40422 |
Administrator’s telephone number |
8592279244 |
|
MICHELE BEELER, D.M.D. 401(K) PROFIT SHARING PLAN
|
2019
|
113687528
|
2020-04-17
|
MICHELE BEELER, D.M.D.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8592279244
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
|
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2018
|
113687528
|
2019-06-27
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MICHELE BEELER, D.M.D.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6067875222
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
|
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2017
|
113687528
|
2018-04-13
|
MICHELE BEELER, D.M.D.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6067875222
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
|
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2016
|
113687528
|
2017-10-10
|
MICHELE BEELER, D.M.D.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6067875222
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
|
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2015
|
113687528
|
2016-05-31
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MICHELE BEELER, D.M.D.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067875222
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
|
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2014
|
113687528
|
2015-10-14
|
MICHELE BEELER, D.M.D.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067875222
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
MICHELE BEELER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
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MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2013
|
113687528
|
2014-03-30
|
MICHELE BEELER, D.M.D.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067875222
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
Signature of
Role |
Plan administrator |
Date |
2014-03-30 |
Name of individual signing |
MICHELE BEELER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
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MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2012
|
113687528
|
2013-04-29
|
MICHELE BEELER, D.M.D.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067875222
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
Signature of
Role |
Plan administrator |
Date |
2013-04-29 |
Name of individual signing |
MICHELE BEELER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
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MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2011
|
113687528
|
2012-05-08
|
MICHELE BEELER, D.M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166
|
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
Signature of
Role |
Plan administrator |
Date |
2012-05-08 |
Name of individual signing |
MICHELE BEELER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
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MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN
|
2010
|
113687528
|
2011-07-15
|
MICHELE BEELER, D.M.D.
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/15/20110715143200P030442438704001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6067875222 |
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 425391166 |
Administrator’s telephone number |
6067875222 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
MICHELE BEELER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHELE BEELER, D.M.D. 401(K) PROFIT SHARING PLAN
|
2009
|
113687528
|
2010-07-27
|
MICHELE BEELER, D.M.D.
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/27/20100727171526P040031322903001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6067875222 |
Plan sponsor’s
address |
P.O. BOX 1166, LIBERTY, KY, 42539 |
Plan administrator’s name and address
Administrator’s EIN |
113687528 |
Plan administrator’s name |
MICHELE BEELER, D.M.D. |
Plan administrator’s
address |
P.O. BOX 1166, LIBERTY, KY, 42539 |
Administrator’s telephone number |
6067875222 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
MICHELLE BEELER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
MICHELLE BEELER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|