ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST
|
2018
|
201275571
|
2019-08-15
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Plan administrator’s name and address
Administrator’s EIN |
201275571 |
Plan administrator’s name |
ROBERT N. KINSAUL, D.M.D., P.C. |
Plan administrator’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402 |
Administrator’s telephone number |
3342975890 |
Signature of
Role |
Plan administrator |
Date |
2019-08-15 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST
|
2017
|
201275571
|
2018-07-20
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Plan administrator’s name and address
Administrator’s EIN |
201275571 |
Plan administrator’s name |
ROBERT N. KINSAUL, D.M.D., P.C. |
Plan administrator’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402 |
Administrator’s telephone number |
3342975890 |
Signature of
Role |
Plan administrator |
Date |
2018-07-20 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST
|
2016
|
201275571
|
2017-06-02
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Plan administrator’s name and address
Administrator’s EIN |
201275571 |
Plan administrator’s name |
ROBERT N. KINSAUL, D.M.D., P.C. |
Plan administrator’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402 |
Administrator’s telephone number |
3342975890 |
Signature of
Role |
Plan administrator |
Date |
2017-06-02 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST
|
2015
|
201275571
|
2016-06-30
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Plan administrator’s name and address
Administrator’s EIN |
201275571 |
Plan administrator’s name |
ROBERT N. KINSAUL, D.M.D., P.C. |
Plan administrator’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402 |
Administrator’s telephone number |
3342975890 |
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST
|
2014
|
201275571
|
2015-10-12
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Plan administrator’s name and address
Administrator’s EIN |
201275571 |
Plan administrator’s name |
ROBERT N. KINSAUL, D.M.D., P.C. |
Plan administrator’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402 |
Administrator’s telephone number |
3342975890 |
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, D.M.D., P.C. DEFINED BENEFIT PLAN & TRUST
|
2013
|
201275571
|
2014-09-16
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Signature of
Role |
Plan administrator |
Date |
2014-09-16 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST
|
2013
|
201275571
|
2014-10-07
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Plan administrator’s name and address
Administrator’s EIN |
201275571 |
Plan administrator’s name |
ROBERT N. KINSAUL, D.M.D., P.C. |
Plan administrator’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402 |
Administrator’s telephone number |
3342975890 |
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2013
|
201275571
|
2014-09-16
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Signature of
Role |
Plan administrator |
Date |
2014-09-16 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, D.M.D., P.C. DEFINED BENEFIT PLAN & TRUST
|
2012
|
201275571
|
2013-09-12
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Plan administrator’s name and address
Administrator’s EIN |
201275571 |
Plan administrator’s name |
ROBERT N. KINSAUL, D.M.D., P.C. |
Plan administrator’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402 |
Administrator’s telephone number |
3342975890 |
Signature of
Role |
Plan administrator |
Date |
2013-09-12 |
Name of individual signing |
ROBERT KINSAUL |
|
|
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST
|
2012
|
201275571
|
2013-09-16
|
ROBERT N. KINSAUL, D.M.D., P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3342975890
|
Plan sponsor’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
|
Plan administrator’s name and address
Administrator’s EIN |
201275571 |
Plan administrator’s name |
ROBERT N. KINSAUL, D.M.D., P.C. |
Plan administrator’s
address |
2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402 |
Administrator’s telephone number |
3342975890 |
Signature of
Role |
Plan administrator |
Date |
2013-09-16 |
Name of individual signing |
ROBERT KINSAUL |
|
|