FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN
|
2023
|
631240191
|
2024-07-25
|
FAMILY DENTAL CARE OF DOTHAN, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2024-07-25 |
Name of individual signing |
DR. KEITH BLACKMON |
|
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN
|
2022
|
631240191
|
2023-07-25
|
FAMILY DENTAL CARE OF DOTHAN, 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 |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2023-07-25 |
Name of individual signing |
DR. KEITH BLACKMON |
|
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN
|
2021
|
631240191
|
2022-07-26
|
FAMILY DENTAL CARE OF DOTHAN, 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 |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
DR. KEITH BLACKMON |
|
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN
|
2020
|
631240191
|
2021-07-13
|
FAMILY DENTAL CARE OF DOTHAN, 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 |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
DR. KEITH BLACKMON |
|
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN
|
2019
|
631240191
|
2020-09-03
|
FAMILY DENTAL CARE OF DOTHAN, 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 |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2020-09-03 |
Name of individual signing |
DR. KEITH BLACKMON |
|
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
631240191
|
2019-10-15
|
FAMILY DENTAL CARE OF DOTHAN, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Plan administrator’s name and address
Administrator’s EIN |
631240191 |
Plan administrator’s name |
FAMILY DENTAL CARE OF DOTHAN, P.C. |
Plan administrator’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303 |
Administrator’s telephone number |
3347925711 |
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN
|
2018
|
631240191
|
2020-09-03
|
FAMILY DENTAL CARE OF DOTHAN, 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 |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2020-09-03 |
Name of individual signing |
DR. KEITH BLACKMON |
|
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN
|
2017
|
631240191
|
2020-09-03
|
FAMILY DENTAL CARE OF DOTHAN, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2020-09-03 |
Name of individual signing |
DR. KEITH BLACKMON |
|
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN
|
2016
|
631240191
|
2020-09-03
|
FAMILY DENTAL CARE OF DOTHAN, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Signature of
Role |
Plan administrator |
Date |
2020-09-03 |
Name of individual signing |
DR. KEITH BLACKMON |
|
|
FAMILY DENTAL CARE OF DOTHAN, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
631240191
|
2017-10-16
|
FAMILY DENTAL CARE OF DOTHAN, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3347925711
|
Plan sponsor’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303
|
Plan administrator’s name and address
Administrator’s EIN |
631240191 |
Plan administrator’s name |
FAMILY DENTAL CARE OF DOTHAN, P.C. |
Plan administrator’s
address |
107 PROFESSIONAL LANE, DOTHAN, AL, 36303 |
Administrator’s telephone number |
3347925711 |
|