KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2020
|
631218965
|
2021-09-09
|
KENTECH DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2021-09-09 |
Name of individual signing |
KEN JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2020
|
631218965
|
2021-06-29
|
KENTECH DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2021-06-29 |
Name of individual signing |
KEN JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2019
|
631218965
|
2020-10-14
|
KENTECH DENTAL, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
KEN JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2018
|
631218965
|
2019-10-11
|
KENTECH DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
3459 PELHAM PKY, PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
KENNETH JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2017
|
631218965
|
2018-06-26
|
KENTECH DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
3459 PELHAM PKY, PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2018-06-26 |
Name of individual signing |
KENNETH JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2016
|
631218965
|
2017-05-30
|
KENTECH DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
3459 PELHAM PKY, PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2017-05-30 |
Name of individual signing |
KENNETH JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2015
|
631218965
|
2016-08-26
|
KENTECH DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
3459 PELHAM PKY, PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2016-08-26 |
Name of individual signing |
KENNETH JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2014
|
631218965
|
2015-07-10
|
KENTECH DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
3459 PELHAM PKY, PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
KENNETH JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2013
|
631218965
|
2014-08-14
|
KENTECH DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
3459 PELHAM PKY, PO BOX 1751, PELHAM, AL, 35124
|
Signature of
Role |
Plan administrator |
Date |
2014-08-14 |
Name of individual signing |
KENNETH JERNIGAN |
|
|
KENTECH DENTAL, INC., 401(K) RETIREMENT PLAN
|
2012
|
631218965
|
2013-07-31
|
KENTECH DENTAL, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056636500
|
Plan sponsor’s
address |
3459 PELHAM PKY, PO BOX 1751, PELHAM, AL, 35124
|
Plan administrator’s name and address
Administrator’s EIN |
631218965 |
Plan administrator’s name |
KENTECH DENTAL, INC. |
Plan administrator’s
address |
3459 PELHAM PKY, PO BOX 1751, PELHAM, AL, 35124 |
Administrator’s telephone number |
2056636500 |
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
KENNETH JERNIGAN |
|
|