JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2021
|
272973478
|
2022-07-25
|
JOHN C. GREEN, D.M.D, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2022-07-25 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2020
|
272973478
|
2021-06-16
|
JOHN C. GREEN, D.M.D, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2019
|
272973478
|
2020-08-10
|
JOHN C. GREEN, D.M.D, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2020-08-10 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2018
|
272973478
|
2019-06-10
|
JOHN C. GREEN, D.M.D, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2019-06-10 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2017
|
272973478
|
2018-06-20
|
JOHN C. GREEN, D.M.D, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2018-06-20 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2016
|
272973478
|
2017-06-11
|
JOHN C. GREEN, D.M.D, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2017-06-11 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2015
|
272973478
|
2016-09-01
|
JOHN C. GREEN, D.M.D, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2016-09-01 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2014
|
272973478
|
2015-09-04
|
JOHN C. GREEN, D.M.D, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2015-09-04 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2013
|
272973478
|
2014-07-15
|
JOHN C. GREEN, D.M.D, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2014-07-15 |
Name of individual signing |
JOHN GREEN |
|
|
JOHN C. GREEN, D.M.D, LLC 401(K) P/S PLAN
|
2012
|
272973478
|
2013-06-11
|
JOHN C. GREEN, D.M.D, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2056572644
|
Plan sponsor’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732
|
Plan administrator’s name and address
Administrator’s EIN |
272973478 |
Plan administrator’s name |
JOHN C. GREEN, D.M.D, LLC |
Plan administrator’s
address |
105 SOUTH WALNUT AVE., DEMOPOLIS, AL, 36732 |
Administrator’s telephone number |
2056572644 |
Signature of
Role |
Plan administrator |
Date |
2013-06-11 |
Name of individual signing |
JOHN GREEN D.M.D. |
|
|