|
KY TN ORAL SURGERY, PLLC 401(K) PROFIT SHARING PLAN
|
2013
|
455336934
|
2014-10-10
|
KY TN ORAL SURGERY, PLLC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2707594063
|
| Plan sponsor’s
address |
1109 POPLAR STREET, MURRAY, KY, 42071
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-10 |
| Name of individual signing |
SHARON BOBO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KY TN ORAL SURGERY, PLLC 401(K) PROFIT SHARING PLAN
|
2012
|
454336934
|
2013-10-14
|
KY TN ORAL SURGERY, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2707594063
|
| Plan sponsor’s
address |
1109 POPLAR STREET, MURRAY, KY, 42071
|
Plan administrator’s name and address
| Administrator’s EIN |
454336934 |
| Plan administrator’s name |
KY TN ORAL SURGERY, PLLC |
| Plan administrator’s
address |
1109 POPLAR STREET, MURRAY, KY, 42071 |
| Administrator’s telephone number |
2707594063 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-14 |
| Name of individual signing |
SHARON BOBO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
