JUSTICE FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
263602079
|
2023-03-15
|
JUSTICE FAMILY DENTISTRY PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2023-02-07 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2021
|
263602079
|
2022-10-07
|
JUSTICE FAMILY DENTISTRY PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2022-10-05 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2020
|
263602079
|
2021-10-13
|
JUSTICE FAMILY DENTISTRY PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K) PROFIT
|
2019
|
263602079
|
2020-09-08
|
JUSTICE FAMILY DENTISTRY PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2020-08-27 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K) PROFIT
|
2018
|
263602079
|
2019-07-23
|
JUSTICE FAMILY DENTISTRY PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2019-07-10 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K) PROFIT
|
2017
|
263602079
|
2018-09-25
|
JUSTICE FAMILY DENTISTRY PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2018-08-27 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K) PROFIT
|
2016
|
263602079
|
2017-08-28
|
JUSTICE FAMILY DENTISTRY PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2017-08-17 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K) PROFIT
|
2015
|
263602079
|
2016-10-11
|
JUSTICE FAMILY DENTISTRY PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2016-09-01 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY PLLC 401K PROFIT
|
2014
|
263602079
|
2015-10-15
|
JUSTICE FAMILY DENTISTRY PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTRISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2013
|
263602079
|
2014-07-16
|
JUSTICE FAMILY DENTISTRY PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6064745193
|
Plan sponsor’s
address |
132 INTERSTATE DRIVE SUITE 2, GRAYSON, KY, 41143
|
Signature of
Role |
Plan administrator |
Date |
2014-07-01 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K)PROFIT SHARIN
|
2012
|
263602079
|
2013-07-01
|
JUSTICE FAMILY DENTISTRY, PLLC
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/01/20130701110613P030015212770002.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2010-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6064745193 |
Plan sponsor’s
address |
132 INTERSTATE DRIVE, SUITE 2, GRAYSON, KY, 41143 |
Signature of
Role |
Plan administrator |
Date |
2013-06-19 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K)PROFIT SHARIN
|
2011
|
263602079
|
2012-06-14
|
JUSTICE FAMILY DENTISTRY, PLLC
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/14/20120614091059P030003349318001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2010-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6064745193 |
Plan sponsor’s
address |
212 EAST MAIN STREET, GRAYSON, KY, 41143 |
Plan administrator’s name and address
Administrator’s EIN |
263602079 |
Plan administrator’s name |
JUSTICE FAMILY DENTISTRY, PLLC |
Plan administrator’s
address |
212 EAST MAIN STREET, GRAYSON, KY, 41143 |
Administrator’s telephone number |
6064745193 |
Signature of
Role |
Plan administrator |
Date |
2012-02-16 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTICE FAMILY DENTISTRY, PLLC 401(K)PROFIT SHARIN
|
2010
|
263602079
|
2011-07-13
|
JUSTICE FAMILY DENTISTRY, PLLC
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/13/20110713125430P040432413760006.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2010-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
6064745193 |
Plan sponsor’s
address |
212 EAST MAIN STREET, GRAYSON, KY, 41143 |
Plan administrator’s name and address
Administrator’s EIN |
263602079 |
Plan administrator’s name |
JUSTICE FAMILY DENTISTRY, PLLC |
Plan administrator’s
address |
212 EAST MAIN STREET, GRAYSON, KY, 41143 |
Administrator’s telephone number |
6064745193 |
Signature of
Role |
Plan administrator |
Date |
2011-05-09 |
Name of individual signing |
RICHARD JUSTICE, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|