SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2019
|
263207094
|
2020-07-06
|
SHANNON R. THOMAS, D.M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
2832 BALMORAL ROAD, BIRMINGHAM, AL, 35213
|
Signature of
Role |
Plan administrator |
Date |
2020-07-06 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2018
|
263207094
|
2019-07-18
|
SHANNON R. THOMAS, D.M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
2832 BALMORAL ROAD, BIRMINGHAM, AL, 35213
|
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2017
|
263207094
|
2018-10-12
|
SHANNON R. THOMAS, D.M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
1715 GOLDEN SPRINGS ROAD, ANNISTON, AL, 36207
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2016
|
263207094
|
2017-06-23
|
SHANNON R. THOMAS, D.M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
1715 GOLDEN SPRINGS ROAD, ANNISTON, AL, 36207
|
Signature of
Role |
Plan administrator |
Date |
2017-06-23 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2015
|
263207094
|
2016-06-01
|
SHANNON R. THOMAS, D.M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
1715 GOLDEN SPRINGS ROAD, ANNISTON, AL, 36207
|
Signature of
Role |
Plan administrator |
Date |
2016-06-01 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2014
|
263207094
|
2015-04-26
|
SHANNON R. THOMAS, D.M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
420 MEADOWBROOK LANE, BIRMINGHAM, AL, 35213
|
Signature of
Role |
Plan administrator |
Date |
2015-04-26 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2013
|
263207094
|
2014-07-07
|
SHANNON R. THOMAS, D.M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
711 B EAST 10TH STREET, ANNISTON, AL, 36207
|
Signature of
Role |
Plan administrator |
Date |
2014-07-07 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2012
|
263207094
|
2013-06-17
|
SHANNON R. THOMAS, D.M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
711 B EAST 10TH STREET, ANNISTON, AL, 36207
|
Signature of
Role |
Plan administrator |
Date |
2013-06-17 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2011
|
263207094
|
2012-05-25
|
SHANNON R. THOMAS, D.M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Plan sponsor’s
address |
711 B EAST 10TH STREET, ANNISTON, AL, 36207
|
Plan administrator’s name and address
Administrator’s EIN |
263207094 |
Plan administrator’s name |
SHANNON R. THOMAS, D.M.D., P.C. |
Plan administrator’s
address |
711 B EAST 10TH STREET, ANNISTON, AL, 36207 |
Administrator’s telephone number |
2562310077 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST
|
2010
|
263207094
|
2011-07-06
|
SHANNON R. THOMAS, D.M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2562310077
|
Plan sponsor’s
address |
711 B EAST 10TH STREET, ANNISTON, AL, 36207
|
Plan administrator’s name and address
Administrator’s EIN |
263207094 |
Plan administrator’s name |
SHANNON R. THOMAS, D.M.D., P.C. |
Plan administrator’s
address |
711 B EAST 10TH STREET, ANNISTON, AL, 36207 |
Administrator’s telephone number |
2562310077 |
Signature of
Role |
Plan administrator |
Date |
2011-07-06 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
Role |
Employer/plan sponsor |
Date |
2011-07-06 |
Name of individual signing |
SHANNON R. THOMAS, D.M.D. |
|
|