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Todd P. Roth, DMD, P.C.

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Entity Number 000-239-596

Register Number000239596

Status Exists

NameTodd P. Roth, DMD, P.C.

CountyMontgomery

Date of registration 03 Feb 2005 (20 years ago)

Legal typeDomestic Professional Corporation

Principal Address MONTGOMERY, AL

Registered Office Street Address 4282 LOMAC STREETMONTGOMERY, AL 36106

Registered Office Street Address ZIP code 36106

Authorized Capital $50

Activities ENDODONTICS PROFESSION

form 5500

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

TODD P. ROTH, DMD, P.C., 401K PLAN

2022

202414969

2023-02-27

TODD P. ROTH, DMD, P.C.

5

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Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2023-02-27
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2021

202414969

2022-03-11

TODD P. ROTH, DMD, P.C.

5

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2022-03-11
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2020

202414969

2021-07-26

TODD P. ROTH, DMD, P.C.

4

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2021-07-26
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2019

202414969

2020-03-18

TODD P. ROTH, DMD, P.C.

4

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2020-03-18
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2018

202414969

2019-03-18

TODD P. ROTH, DMD, P.C.

4

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2019-03-18
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2017

202414969

2018-02-19

TODD P. ROTH, DMD, P.C.

4

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2018-02-19
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2016

202414969

2017-03-08

TODD P. ROTH, DMD, P.C.

3

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2017-03-08
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2015

202414969

2016-03-23

TODD P. ROTH, DMD, P.C.

3

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2016-03-23
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2014

202414969

2015-03-05

TODD P. ROTH, DMD, P.C.

3

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2015-03-05
Name of individual signingTODD P. ROTH

TODD P. ROTH, DMD, P.C., 401K PLAN

2013

202414969

2014-01-31

TODD P. ROTH, DMD, P.C.

3

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621210
Sponsor’s telephone number3343962500
Plan sponsor’s address4724 WOODMERE BLVD, MONTGOMERY, AL, 36106

Signature of

RolePlan administrator
Date2014-01-31
Name of individual signingTODD P. ROTH

Incorporator

Name Role

ROTH, JOHN HERBERT

Incorporator

Agent

Name Role

ROTH, TODD P

Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State