CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2017
|
273052414
|
2018-05-11
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2707693306
|
Plan sponsor’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949
|
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2016
|
273052414
|
2017-09-29
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2707693306
|
Plan sponsor’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949
|
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2014
|
273052414
|
2015-09-16
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2707693306
|
Plan sponsor’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949
|
Signature of
Role |
Plan administrator |
Date |
2015-09-16 |
Name of individual signing |
DAN RAY CLAGETT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2013
|
273052414
|
2015-09-03
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2707693306
|
Plan sponsor’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949
|
Signature of
Role |
Plan administrator |
Date |
2015-09-03 |
Name of individual signing |
DAN RAY CLAGETT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2012
|
273052414
|
2013-10-15
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2707693306
|
Plan sponsor’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949
|
Plan administrator’s name and address
Administrator’s EIN |
273052414 |
Plan administrator’s name |
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC |
Plan administrator’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949 |
Administrator’s telephone number |
2707693306 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
DAN RAY CLAGETT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2011
|
273052414
|
2012-10-10
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2707693306
|
Plan sponsor’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949
|
Plan administrator’s name and address
Administrator’s EIN |
273052414 |
Plan administrator’s name |
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC |
Plan administrator’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949 |
Administrator’s telephone number |
2707693306 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
DAN RAY CLAGETT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2010
|
273052414
|
2011-08-09
|
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2707693306
|
Plan sponsor’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949
|
Plan administrator’s name and address
Administrator’s EIN |
273052414 |
Plan administrator’s name |
CLAGETT COSMETIC & FAMILY DENTISTRY, PLLC |
Plan administrator’s
address |
551 A. WESTPORT ROAD, ELIZABETHTOWN, KY, 427012949 |
Administrator’s telephone number |
2707693306 |
Signature of
Role |
Plan administrator |
Date |
2011-08-09 |
Name of individual signing |
DAN RAY CLAGETT, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|