|
AUDUBON DENTAL CENTER PLLC 401(K) PLAN
|
2023
|
830572253
|
2024-06-20
|
AUDUBON DENTAL, PLLC
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2708275222
|
| Plan sponsor’s
address |
716 SECOND STREET, HENDERSON, KY, 42420
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-20 |
| Name of individual signing |
ZACHARY GREGORY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-06-20 |
| Name of individual signing |
ZACHARY GREGORY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUDUBON DENTAL CENTER PLLC 401(K) PLAN
|
2022
|
830572253
|
2023-07-20
|
AUDUBON DENTAL, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2708275222
|
| Plan sponsor’s
address |
716 SECOND STREET, HENDERSON, KY, 42420
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-11 |
| Name of individual signing |
ZACHARY GREGORY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUDUBON DENTAL CENTER, PLLC 401(K) PLAN
|
2020
|
830572253
|
2021-08-02
|
AUDUBON DENTAL, PLLC
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2708275222
|
| Plan sponsor’s
address |
716 SECOND STREET, HENDERSON, KY, 42420
|
Signature of
| Role |
Plan administrator |
| Date |
2021-08-02 |
| Name of individual signing |
ZACHARY GREGORY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-08-02 |
| Name of individual signing |
ZACHARY GREGORY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUDUBON DENTAL PLLC 401(K) PLAN
|
2018
|
830572253
|
2019-07-15
|
AUDUBON DENTAL, PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2708275222
|
| Plan sponsor’s
address |
716 SECOND STREET, HENDERSON, KY, 42420
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-15 |
| Name of individual signing |
ZACHARY M GREGORY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-07-15 |
| Name of individual signing |
ZACHARY M GREGORY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
