JASPER ORTHODONTICS, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
142003206
|
2024-06-07
|
JASPER ORTHODONTICS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HIGHWAY 78 WEST, SUITE 400, JASPER, AL, 35501
|
Signature of
Role |
Plan administrator |
Date |
2024-06-07 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS, LLC CASH BALANCE PENSION PLAN
|
2023
|
142003206
|
2024-06-07
|
JASPER ORTHODONTICS, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HWY 78 W., STE 400, JASPER, AL, 35501
|
Signature of
Role |
Plan administrator |
Date |
2024-06-07 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
142003206
|
2023-06-27
|
JASPER ORTHODONTICS, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HIGHWAY 78 WEST, SUITE 400, JASPER, AL, 35501
|
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS, LLC CASH BALANCE PENSION PLAN
|
2022
|
142003206
|
2023-06-27
|
JASPER ORTHODONTICS, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HWY 78 W., STE 400, JASPER, AL, 35501
|
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
142003206
|
2024-06-07
|
JASPER ORTHODONTICS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HIGHWAY 78 WEST, SUITE 400, JASPER, AL, 35501
|
Signature of
Role |
Plan administrator |
Date |
2024-06-07 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS, LLC CASH BALANCE PENSION PLAN
|
2021
|
142003206
|
2022-10-07
|
JASPER ORTHODONTICS, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HWY 78 W., STE 400, JASPER, AL, 35501
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
142003206
|
2022-10-11
|
JASPER ORTHODONTICS, LLC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HIGHWAY 78 WEST, SUITE 400, JASPER, AL, 35501
|
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
142003206
|
2021-06-16
|
JASPER ORTHODONTICS LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HIGHWAY 78 W STE 400, JASPER, AL, 355013686
|
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
142003206
|
2020-09-01
|
JASPER ORTHODONTICS LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HIGHWAY 78 W STE 400, JASPER, AL, 355013686
|
Signature of
Role |
Plan administrator |
Date |
2020-09-01 |
Name of individual signing |
DAVID GAMOTIS |
|
|
JASPER ORTHODONTICS LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
142003206
|
2019-07-10
|
JASPER ORTHODONTICS
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2052954988
|
Plan sponsor’s
address |
1400 HIGHWAY 78 W STE 400, JASPER, AL, 355013686
|
Signature of
Role |
Plan administrator |
Date |
2019-07-10 |
Name of individual signing |
DAVID GAMOTIS |
|
|