CVPD 401(K) PLAN
|
2023
|
202245244
|
2024-09-16
|
CAHABA VALLEY PEDIATRIC DENTISTRY, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054088889
|
Plan sponsor’s
address |
141 NARROWS DR, BIRMINGHAM, AL, 352428627
|
Signature of
Role |
Plan administrator |
Date |
2024-09-16 |
Name of individual signing |
DEBBIE CURTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CVPD 401(K) PLAN
|
2022
|
202245244
|
2023-10-02
|
CAHABA VALLEY PEDIATRIC DENTISTRY, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054088889
|
Plan sponsor’s
address |
141 NARROWS DR, BIRMINGHAM, AL, 352428627
|
Signature of
Role |
Plan administrator |
Date |
2023-10-02 |
Name of individual signing |
WHITNEY L. PALMER |
|
|
CVPD 401(K) PLAN
|
2021
|
202245244
|
2022-10-14
|
CAHABA VALLEY PEDIATRIC DENTISTRY, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054088889
|
Plan sponsor’s
address |
141 NARROWS DRIVE, BIRMINGHAM, AL, 35242
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
WHITNEY L PALMER |
|
Role |
Employer/plan sponsor |
Date |
2022-10-14 |
Name of individual signing |
WHITNEY L PALMER |
|
|
CVPD 401(K) PLAN
|
2020
|
202245244
|
2021-10-05
|
CAHABA VALLEY PEDIATRIC DENTISTRY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054088889
|
Plan sponsor’s
address |
141 NARROWS DRIVE, BIRMINGHAM, AL, 35242
|
Signature of
Role |
Plan administrator |
Date |
2021-10-05 |
Name of individual signing |
WHITNEY L PALMER |
|
|
CVPD 401(K) PLAN
|
2019
|
202245244
|
2020-08-20
|
CAHABA VALLEY PEDIATRIC DENTISTRY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054088889
|
Plan sponsor’s
address |
141 NARROWS DRIVE, BIRMINGHAM, AL, 35242
|
Signature of
Role |
Plan administrator |
Date |
2020-08-20 |
Name of individual signing |
WHITNEY LAWSON |
|
|
CVPD 401(K) PLAN
|
2018
|
202245244
|
2019-09-25
|
CAHABA VALLEY PEDIATRIC DENTISTRY, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054088889
|
Plan sponsor’s
address |
141 NARROWS DRIVE, BIRMINGHAM, AL, 35242
|
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
WHITNEY LAWSON |
|
|
CVPD 401(K) PLAN
|
2017
|
202245244
|
2018-07-10
|
CAHABA VALLEY PEDIATRIC DENTISTRY, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054088889
|
Plan sponsor’s
address |
141 NARROWS DRIVE, BIRMINGHAM, AL, 35242
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
WHITNEY LAWSON |
|
|
CVPD 401(K) PLAN
|
2016
|
202245244
|
2017-07-18
|
CAHABA VALLEY PEDIATRIC DENTISTRY P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054088889
|
Plan sponsor’s
address |
141 NARROWS DR, BIRMINGHAM, AL, 35242
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
WHITNEY LAWSON |
|
|