JACK B. THIGPEN, III, 401(K) PLAN
|
2022
|
454596510
|
2023-08-11
|
JACK B. THIGPEN, III, DMD, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2023-08-11 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-11 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2021
|
454596510
|
2022-10-17
|
JACK B. THIGPEN, III, DMD, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-17 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2020
|
454596510
|
2022-05-27
|
JACK B. THIGPEN, III, DMD, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2022-05-27 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-27 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2019
|
454596510
|
2020-07-10
|
JACK B. THIGPEN, III, DMD, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-10 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2018
|
454596510
|
2019-10-04
|
JACK B. THIGPEN, III, DMD, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2019-10-04 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-04 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2017
|
454596510
|
2018-10-04
|
JACK B. THIGPEN, III, DMD, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-04 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2016
|
454596510
|
2017-04-13
|
JACK B. THIGPEN, III, DMD, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2017-04-13 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-13 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2015
|
454596510
|
2016-04-05
|
JACK B. THIGPEN, III, DMD, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2016-04-05 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-05 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2014
|
454596510
|
2015-07-15
|
JACK B. THIGPEN, III, DMD, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-15 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACK B. THIGPEN, III, 401(K) PLAN
|
2013
|
454596510
|
2014-08-05
|
JACK B. THIGPEN, III, DMD, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8636702849
|
Plan sponsor’s
address |
10850 SHELDON RD, TAMPA, FL, 336265117
|
Signature of
Role |
Plan administrator |
Date |
2014-08-05 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-05 |
Name of individual signing |
JACK THIGPEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|