COMPLETE DENTAL OF MOBILE LLC 401(K) PS PLAN
|
2023
|
453133198
|
2024-07-29
|
COMPLETE DENTAL OF MOBILE LLC
|
11
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD, MOBILE, AL, 36619
|
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
SHAUN G SMALL |
|
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COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
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2022
|
453133198
|
2023-06-06
|
COMPLETE DENTAL OF MOBILE LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2023-06-06 |
Name of individual signing |
SHAUN SMALL |
|
|
COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
|
2021
|
453133198
|
2022-07-19
|
COMPLETE DENTAL OF MOBILE LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2022-07-19 |
Name of individual signing |
SHAUN SMALL |
|
|
COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
|
2020
|
453133198
|
2021-06-01
|
COMPLETE DENTAL OF MOBILE LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2021-06-01 |
Name of individual signing |
SHAUN SMALL |
|
|
COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
|
2019
|
453133198
|
2020-08-19
|
COMPLETE DENTAL OF MOBILE LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2020-08-19 |
Name of individual signing |
SHAUN SMALL |
|
|
COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
|
2018
|
453133198
|
2019-03-07
|
COMPLETE DENTAL OF MOBILE LLC
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2019-03-07 |
Name of individual signing |
SHAUN SMALL |
|
|
COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
|
2018
|
453133198
|
2019-04-02
|
COMPLETE DENTAL OF MOBILE LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2019-04-02 |
Name of individual signing |
SHAUN SMALL |
|
|
COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
|
2017
|
453133198
|
2018-04-24
|
COMPLETE DENTAL OF MOBILE LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2018-04-24 |
Name of individual signing |
SHAUN SMALL |
|
|
COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
|
2016
|
453133198
|
2017-07-31
|
COMPLETE DENTAL OF MOBILE LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
SHAUN SMALL |
|
|
COMPLETE DENTAL OF MOBILE LLC 401(K) P/S PLAN
|
2015
|
453133198
|
2016-07-21
|
COMPLETE DENTAL OF MOBILE 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 |
2516611003
|
Plan sponsor’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619
|
Plan administrator’s name and address
Administrator’s EIN |
453133198 |
Plan administrator’s name |
COMPLETE DENTAL OF MOBILE LLC |
Plan administrator’s
address |
5651 THREE NOTCH RD., MOBILE, AL, 36619 |
Administrator’s telephone number |
2516611003 |
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
SHAUN SMALL |
|
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