LENNICX DENTISTRY PROFIT SHARING PLAN
|
2019
|
631266261
|
2021-10-14
|
LENNICX DENTISTRY
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Plan sponsor’s
address |
207 KINNING PARK LN, DOTHAN, AL, 363051257
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
PAUL LENNICX |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
PAUL LENNICX |
|
|
LENNICX DENTISTRY PROFIT SHARING PLAN
|
2017
|
631266261
|
2018-08-07
|
LENNICX DENTISTRY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3346734616
|
Plan sponsor’s
address |
501 HEALTHWEST DRIVE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2018-08-07 |
Name of individual signing |
PAUL LENNICX |
|
|
LENNICX DENTISTRY PROFIT SHARING PLAN
|
2016
|
631266261
|
2017-07-01
|
LENNICX DENTISTRY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3346734616
|
Plan sponsor’s
address |
501 HEALTHWEST DRIVE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2017-07-01 |
Name of individual signing |
PAUL LENNICX |
|
|
LENNICX DENTISTRY PROFIT SHARING PLAN
|
2015
|
631266261
|
2016-09-04
|
LENNICX DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3346734616
|
Plan sponsor’s
address |
501 HEALTHWEST DRIVE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2016-09-04 |
Name of individual signing |
PAUL LENNICX |
|
|
LENNICX DENTISTRY PROFIT SHARING PLAN
|
2014
|
631266261
|
2015-04-12
|
LENNICX DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3346734616
|
Plan sponsor’s
address |
501 HEALTHWEST DRIVE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2015-04-12 |
Name of individual signing |
PAUL C LENNICX |
|
Role |
Employer/plan sponsor |
Date |
2015-04-12 |
Name of individual signing |
PAUL C LENNICX |
|
|
LENNICX DENTISTRY PROFIT SHARING PLAN
|
2013
|
631266261
|
2014-07-18
|
LENNICX DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3346734616
|
Plan sponsor’s
address |
501 HEALTHWEST DRIVE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2014-07-18 |
Name of individual signing |
PAUL C LENNICX |
|
Role |
Employer/plan sponsor |
Date |
2014-07-18 |
Name of individual signing |
PAUL C LENNICX |
|
|
LENNICX DENTISTRY PROFIT SHARING PLAN
|
2012
|
631266261
|
2013-07-15
|
LENNICX DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3346734616
|
Plan sponsor’s
address |
501 HEALTHWEST DRIVE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
PAUL LENNICX |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
PAUL LENNICX |
|
|
LENNICX DENTISTRY PROFIT SHARING PLAN
|
2011
|
631266261
|
2012-10-09
|
LENNICX DENTISTRY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3346734616
|
Plan sponsor’s
address |
501 HEALTHWEST DRIVE, DOTHAN, AL, 36303
|
Plan administrator’s name and address
Administrator’s EIN |
631266261 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
501 HEALTHWEST DRIVE, DOTHAN, AL, 36303 |
Administrator’s telephone number |
3346734616 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
PAUL C. LENNICX, DMD |
|
Role |
Employer/plan sponsor |
Date |
2012-10-09 |
Name of individual signing |
PAUL C. LENNICX, DMD |
|
|