MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2016
|
412184108
|
2017-07-18
|
MCCALLA FAMILY DENTISTRY
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
TED POCZATEK |
|
|
MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2015
|
412184108
|
2016-07-05
|
MCCALLA FAMILY DENTISTRY
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
|
Plan administrator’s name and address
Administrator’s EIN |
412184108 |
Plan administrator’s name |
MCCALLA FAMILY DENTISTRY |
Plan administrator’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022 |
Administrator’s telephone number |
2054774242 |
Signature of
Role |
Plan administrator |
Date |
2016-06-28 |
Name of individual signing |
TED POCZATEK |
|
|
MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2014
|
412184108
|
2015-07-28
|
MCCALLA FAMILY DENTISTRY
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
|
Plan administrator’s name and address
Administrator’s EIN |
412184108 |
Plan administrator’s name |
MCCALLA FAMILY DENTISTRY |
Plan administrator’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022 |
Administrator’s telephone number |
2054774242 |
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
TED POCZATEK |
|
|
MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2013
|
412184108
|
2014-07-22
|
MCCALLA FAMILY DENTISTRY
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
|
Plan administrator’s name and address
Administrator’s EIN |
412184108 |
Plan administrator’s name |
MCCALLA FAMILY DENTISTRY |
Plan administrator’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022 |
Administrator’s telephone number |
2054774242 |
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
TED POCZATEK |
|
|
MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2012
|
412184108
|
2013-06-26
|
MCCALLA FAMILY DENTISTRY
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
|
Plan administrator’s name and address
Administrator’s EIN |
412184108 |
Plan administrator’s name |
MCCALLA FAMILY DENTISTRY |
Plan administrator’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022 |
Administrator’s telephone number |
2054774242 |
Signature of
Role |
Plan administrator |
Date |
2013-06-25 |
Name of individual signing |
TED POCZATEK |
|
|
MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2011
|
412184108
|
2012-07-23
|
MCCALLA FAMILY DENTISTRY
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
|
Plan administrator’s name and address
Administrator’s EIN |
412184108 |
Plan administrator’s name |
MCCALLA FAMILY DENTISTRY |
Plan administrator’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022 |
Administrator’s telephone number |
2054774242 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
TED POCZATEK |
|
|
MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2010
|
412184108
|
2011-09-26
|
MCCALLA FAMILY DENTISTRY
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
|
Plan administrator’s name and address
Administrator’s EIN |
412184108 |
Plan administrator’s name |
MCCALLA FAMILY DENTISTRY |
Plan administrator’s
address |
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022 |
Administrator’s telephone number |
2054774242 |
Signature of
Role |
Plan administrator |
Date |
2011-09-23 |
Name of individual signing |
TED POCZATEK |
|
|
MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2009
|
412184108
|
2010-10-12
|
MCCALLA FAMILY DENTISTRY
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
4760 EASTERN VALLEY ROAD, SUITE 106, MCCALLA, AL, 35111
|
Plan administrator’s name and address
Administrator’s EIN |
412184108 |
Plan administrator’s name |
MCCALLA FAMILY DENTISTRY |
Plan administrator’s
address |
4760 EASTERN VALLEY ROAD, SUITE 106, MCCALLA, AL, 35111 |
Administrator’s telephone number |
2054774242 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
TED POCZATEK |
|
|
MCCALLA FAMILY DENTISTRY 401(K) PLAN
|
2009
|
412184108
|
2010-10-13
|
MCCALLA FAMILY DENTISTRY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2054774242
|
Plan sponsor’s
address |
4760 EASTERN VALLEY ROAD, SUITE 106, MCCALLA, AL, 35111
|
Plan administrator’s name and address
Administrator’s EIN |
412184108 |
Plan administrator’s name |
MCCALLA FAMILY DENTISTRY |
Plan administrator’s
address |
4760 EASTERN VALLEY ROAD, SUITE 106, MCCALLA, AL, 35111 |
Administrator’s telephone number |
2054774242 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
TED POCZATEK |
|
|