TWIN LAKES FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN
|
2013
|
900524981
|
2014-03-13
|
TWIN LAKES FAMILY DENTAL, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2702593232
|
Plan sponsor’s
address |
1919 ELIZABETHTOWN ROAD, LEITCHFIELD, KY, 42752
|
Signature of
Role |
Plan administrator |
Date |
2014-03-12 |
Name of individual signing |
PAUL KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-12 |
Name of individual signing |
PAUL KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TWIN LAKES FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN
|
2012
|
900524981
|
2013-05-13
|
TWIN LAKES FAMILY DENTAL, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2702593232
|
Plan sponsor’s
address |
1919 ELIZABETHTOWN ROAD, LEITCHFIELD, KY, 42752
|
Signature of
Role |
Plan administrator |
Date |
2013-05-12 |
Name of individual signing |
PAUL E KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-12 |
Name of individual signing |
PAUL E KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TWIN LAKES FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN
|
2011
|
900524981
|
2012-04-05
|
TWIN LAKES FAMILY DENTAL, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2702593232
|
Plan sponsor’s
address |
1919 ELIZABETHTOWN ROAD, LEITCHFIELD, KY, 42752
|
Plan administrator’s name and address
Administrator’s EIN |
900524981 |
Plan administrator’s name |
TWIN LAKES FAMILY DENTAL, PLLC |
Plan administrator’s
address |
1919 ELIZABETHTOWN ROAD, LEITCHFIELD, KY, 42752 |
Administrator’s telephone number |
2702593232 |
Signature of
Role |
Plan administrator |
Date |
2012-04-05 |
Name of individual signing |
PAUL KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-05 |
Name of individual signing |
PAUL KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TWIN LAKES FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN
|
2010
|
900524981
|
2011-07-07
|
TWIN LAKES FAMILY DENTAL, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2702593232
|
Plan sponsor’s
address |
1919 ELIZABETHTOWN ROAD, LEITCHFIELD, KY, 42752
|
Plan administrator’s name and address
Administrator’s EIN |
900524981 |
Plan administrator’s name |
TWIN LAKES FAMILY DENTAL, PLLC |
Plan administrator’s
address |
1919 ELIZABETHTOWN ROAD, LEITCHFIELD, KY, 42752 |
Administrator’s telephone number |
2702593232 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
PAUL KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-07 |
Name of individual signing |
PAUL KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TWIN LAKES FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN
|
2009
|
900524981
|
2010-07-26
|
TWIN LAKES FAMILY DENTAL, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2702593232
|
Plan sponsor’s
address |
1919 ELIZABETHTOWN ROAD, LEITCHFIELD, KY, 42752
|
Plan administrator’s name and address
Administrator’s EIN |
900524981 |
Plan administrator’s name |
TWIN LAKES FAMILY DENTAL, PLLC |
Plan administrator’s
address |
1919 ELIZABETHTOWN ROAD, LEITCHFIELD, KY, 42752 |
Administrator’s telephone number |
2702593232 |
Signature of
Role |
Plan administrator |
Date |
2010-07-24 |
Name of individual signing |
PAUL KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-24 |
Name of individual signing |
PAUL KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|