|
EAST ORCHARD DENTISTRY 401(K) RETIREMENT SAVINGS PLAN
|
2023
|
852262569
|
2024-07-23
|
EAST ORCHARD DENTISTRY
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8593306677
|
| Plan sponsor’s
address |
2011 DIXIE HIGHWAY, FT. MITCHELL, KY, 41017
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-23 |
| Name of individual signing |
LINDSEY WILLOUGHBY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST ORCHARD DENTISTRY LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
852262569
|
2023-08-03
|
EAST ORCHARD DENTISTRY LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8593316677
|
| Plan sponsor’s
address |
2011 DIXIE HWY, FT MITCHELL, KY, 410112614
|
Plan administrator’s name and address
| Administrator’s EIN |
200200514 |
| Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number |
6153700051 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-03 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST ORCHARD DENTISTRY 401(K) RETIREMENT SAVINGS PLAN
|
2022
|
852262569
|
2023-07-14
|
EAST ORCHARD DENTISTRY
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8593306677
|
| Plan sponsor’s
address |
2011 DIXIE HIGHWAY, FT. MITCHELL, KY, 41017
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-14 |
| Name of individual signing |
LINDSEY WILLOUGHBY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST ORCHARD DENTISTRY LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
852262569
|
2022-09-30
|
EAST ORCHARD DENTISTRY LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8593316677
|
| Plan sponsor’s
address |
2011 DIXIE HWY, FT MITCHELL, KY, 410112614
|
Plan administrator’s name and address
| Administrator’s EIN |
200200514 |
| Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number |
6153700051 |
Signature of
| Role |
Plan administrator |
| Date |
2022-09-29 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST ORCHARD DENTISTRY 401(K) RETIREMENT SAVINGS PLAN
|
2021
|
852262569
|
2022-07-25
|
EAST ORCHARD DENTISTRY
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8593306677
|
| Plan sponsor’s
address |
2011 DIXIE HIGHWAY, FT. MITCHELL, KY, 41017
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-25 |
| Name of individual signing |
LINDSEY WILLOUGHBY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST ORCHARD DENTISTRY 401(K) RETIREMENT SAVINGS PLAN
|
2020
|
852262569
|
2021-06-29
|
EAST ORCHARD DENTISTRY
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8593306677
|
| Plan sponsor’s
address |
2011 DIXIE HIGHWAY, FT. MITCHELL, KY, 41017
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-29 |
| Name of individual signing |
LINDSEY WILLOUGHBY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
