|
THOMAS T KIM DMD PA 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
450540888
|
2024-07-22
|
THOMAS T KIM DMD PA
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527281100
|
| Plan sponsor’s
address |
734 S US HWY 441, LADY LAKE, FL, 32159
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-22 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRIGHT SMILE CENTER FOR DENTISTRY
|
2022
|
450540888
|
2023-07-20
|
THOMAS T KIM DMD PA
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527283373
|
| Plan sponsor’s
address |
734 US-441, LADY LAKE, FL, 32159
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-20 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRIGHT SMILE CENTER FOR DENTISTRY
|
2021
|
450540888
|
2022-07-21
|
THOMAS T KIM DMD PA
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3527283373
|
| Plan sponsor’s
address |
734 US-441, LADY LAKE, FL, 32159
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-21 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
