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TIMOTHY W SMITH DMD LLC

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Entity Number 000-039-417

Register Number000039417

Status Exists

NameTIMOTHY W SMITH DMD LLC

CountyCullman

Date of registration 11 Jul 2012 (12 years ago)

Legal typeDomestic Limited Liability Company

Registered Office Street Address 1065 COUNTY ROAD 920CRANE HILL, AL 35053

Registered Office Street Address ZIP code 35053

Activities HEALTH CARE - DENTISTS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST

2023

455552493

2024-04-18

TIMOTHY W SMITH DMD LLC

6

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of

RolePlan administrator
Date2024-04-18
Name of individual signingTIMOTHY SMITH

TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST

2022

455552493

2023-05-19

TIMOTHY W SMITH DMD LLC

7

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of

RolePlan administrator
Date2023-05-19
Name of individual signingTIMOTHY SMITH

TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST

2021

455552493

2022-06-28

TIMOTHY W SMITH DMD LLC

6

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of

RolePlan administrator
Date2022-06-28
Name of individual signingTIMOTHY SMITH

TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST

2020

455552493

2021-03-31

TIMOTHY W SMITH DMD LLC

7

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of

RolePlan administrator
Date2021-03-31
Name of individual signingTIMOTHY SMITH

TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST

2019

455552493

2021-08-06

TIMOTHY W SMITH DMD LLC

8

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of

RolePlan administrator
Date2021-08-06
Name of individual signingTIMOTHY SMITH

TIMOTHY W SMITH DMD LLC

2018

455552493

2019-06-20

TIMOTHY W SMITH DMD LLC

6

View Page

Three-digit plan number (PN)260
Effective date of plan2018-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s DBA nameDODGE CITY DENTAL CARE
Plan sponsor’s mailing address655 AL HIGHWAY 69 S, HANCEVILLE, AL, 350773405
Plan sponsor’s address655 AL HIGHWAY 69 S, HANCEVILLE, AL, 350773405

Number of participants as of the end of the plan year

Active participants4
Retired or separated participants receiving benefits0
Other retired or separated participants entitled to future benefits2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Number of participants with account balances as of the end of the plan year6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Signature of

RolePlan administrator
Date2019-06-20
Name of individual signingTIMOTHY SMITH
Valid signatureFiled with authorized/valid electronic signature

TIMOTHY W SMITH DMD LLC 401 K PROFIT SHARING PLAN TRUST

2017

455552493

2018-07-06

TIMOTHY W SMITH DMD LLC

7

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of

RolePlan administrator
Date2018-07-06
Name of individual signingTIMOTHY SMITH

TIMOTHY W SMITH DMD LLC 401 K PROFIT SHARING PLAN TRUST

2016

455552493

2017-06-10

TIMOTHY W SMITH DMD LLC

8

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HIGHWAY 69 S, HANCEVILLE, AL, 350773405

Signature of

RolePlan administrator
Date2017-06-10
Name of individual signingTIMOTHY W SMITH

TIMOTHY W SMITH DMD LLC 401 K PROFIT SHARING PLAN TRUST

2015

455552493

2016-07-21

TIMOTHY W SMITH DMD LLC

7

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of

RolePlan administrator
Date2016-07-21
Name of individual signingTIMOTHY W SMITH

TIMOTHY W SMITH DMD LLC 401 K PROFIT SHARING PLAN TRUST

2014

455552493

2015-07-31

TIMOTHY W SMITH DMD LLC

7

View Page

Three-digit plan number (PN)001
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2562871250
Plan sponsor’s address655 AL HIGHWAY 69 S, HANCEVILLE, AL, 35077

Signature of

RolePlan administrator
Date2015-07-31
Name of individual signingTIMOTHY W SMITH

Agent

Name Role Address

SMITH, TIMOTHY W

Agent

10555 MILDRED AVEGRAND BAY, AL 36541

Organizer

Name Role Address

LEGALZOOM.COM INC

Organizer

9900 SPECTRUM DRIVEAUSTIN, TX 78717

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State