|
JASON RUSSELL, DMD, PLLC 401(K) RETIREMENT SAVING
|
2010
|
861101162
|
2010-12-29
|
JASON RUSSELL, DMD, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5028931990
|
| Plan sponsor’s
address |
2416 FRANKFORT AVENUE, LOUISVILLE, KY, 40206
|
Plan administrator’s name and address
| Administrator’s EIN |
861101162 |
| Plan administrator’s name |
JASON RUSSELL, DMD, PLLC |
| Plan administrator’s
address |
2416 FRANKFORT AVENUE, LOUISVILLE, KY, 40206 |
| Administrator’s telephone number |
5028931990 |
Signature of
| Role |
Plan administrator |
| Date |
2010-12-29 |
| Name of individual signing |
LESLIE O'BRYAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JASON RUSSELL, DMD, PLLC 401(K) RETIREMENT SAVING
|
2009
|
861101162
|
2010-10-04
|
JASON RUSSELL, DMD, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5028931990
|
| Plan sponsor’s
address |
2416 FRANKFORT AVENUE, LOUISVILLE, KY, 40206
|
Plan administrator’s name and address
| Administrator’s EIN |
861101162 |
| Plan administrator’s name |
JASON RUSSELL, DMD, PLLC |
| Plan administrator’s
address |
2416 FRANKFORT AVENUE, LOUISVILLE, KY, 40206 |
| Administrator’s telephone number |
5028931990 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-04 |
| Name of individual signing |
LESLIE A. O'BRYAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
