Bell Road Dentistry LLC

Contacts

Phone	+1 334-395-6695

Authorized person

Name	DR. JULIAN BRANDT SMITH
Role	OWNER/DENTIST
Phone	3343956695

Taxonomy

Taxonomy Code	261QD0000X - Dental Clinic/Center
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	9313098750
Plan sponsor’s address	2642 BELL ROAD, MONTGOMERY, AL, 36117

Signature of

Role	Plan administrator
Date	2024-07-12
Name of individual signing	JULIAN SMITH
Role	Employer/plan sponsor
Date	2024-07-12
Name of individual signing	JULIAN SMITH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	9313098750
Plan sponsor’s address	2642 BELL ROAD, MONTGOMERY, AL, 36117

Signature of

Role	Plan administrator
Date	2023-05-23
Name of individual signing	JULIAN SMITH
Role	Employer/plan sponsor
Date	2023-05-23
Name of individual signing	JULIAN SMITH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	9313098750
Plan sponsor’s mailing address	2642 BELL ROAD, MONTGOMERY, AL, 36117
Plan sponsor’s address	2642 BELL ROAD, MONTGOMERY, AL, 36117

Number of participants as of the end of the plan year

Active participants	5
Other retired or separated participants entitled to future benefits	1
Number of participants with account balances as of the end of the plan year	6

Signature of

Role	Plan administrator
Date	2022-04-18
Name of individual signing	BRANDT SMITH
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	9313098750
Plan sponsor’s mailing address	2642 BELL ROAD, MONTGOMERY, AL, 36117
Plan sponsor’s address	2642 BELL ROAD, MONTGOMERY, AL, 36117

Number of participants as of the end of the plan year

Active participants	6
Number of participants with account balances as of the end of the plan year	6

Signature of

Role	Plan administrator
Date	2021-10-12
Name of individual signing	BRANDT SMITH
Valid signature	Filed with authorized/valid electronic signature