DOL Form 5500 · JSON-LD · Markdown
Sponsored by PROVIDENCE ACADEMY ASSOCIATION, INC. · EIN 621564142 · TN
4B Dental
| Sponsor | PROVIDENCE ACADEMY ASSOCIATION, INC. |
|---|---|
| Sponsor EIN | 621564142 |
| Address | 2788 CARROLL CREEK RD, JOHNSON CITY, TN, 376154540 |
| Phone | 4238549819 |
| Business code (NAICS) | 611000 |
| Plan number | 506 |
| Plan effective | 2024-01-01 |
| Filed for year | 2024 |
| Funding | Insurance contracts |
| Amended filing | Yes |
Source: DOL EBSA Form 5500 disclosure. Public domain.