|
SMILE STATION FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
811363215
|
2024-10-15
|
SMILE STATION FAMILY DENTISTRY, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2704081234
|
| Plan sponsor’s
address |
5504 REIDLAND RD., PADUCAH, KY, 42001
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-15 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SMILE STATION FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
811363215
|
2023-06-28
|
SMILE STATION FAMILY DENTISTRY, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2705197342
|
| Plan sponsor’s
address |
5504 REIDLAND RD., PADUCAH, KY, 42001
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-28 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SMILE STATION FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
811363215
|
2022-08-10
|
SMILE STATION FAMILY DENTISTRY, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2705197342
|
| Plan sponsor’s
address |
5504 REIDLAND RD., PADUCAH, KY, 42001
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-10 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SMILE STATION FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
811363215
|
2021-10-14
|
SMILE STATION FAMILY DENTISTRY, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2705197342
|
| Plan sponsor’s
address |
5504 REIDLAND RD., PADUCAH, KY, 42001
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-14 |
| Name of individual signing |
ADAM WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SMILE STATION FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
811363215
|
2020-07-10
|
SMILE STATION FAMILY DENTISTRY, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2705197342
|
| Plan sponsor’s
address |
5504 REIDLAND RD., PADUCAH, KY, 42001
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-10 |
| Name of individual signing |
ADAM WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SMILE STATION FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
811363215
|
2019-10-13
|
SMILE STATION FAMILY DENTISTRY, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2704081234
|
| Plan sponsor’s
address |
5504 REIDLAND ROAD, PADUCAH, KY, 42001
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-13 |
| Name of individual signing |
DONALD BRIDGES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
