UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2018
|
200750967
|
2019-08-05
|
UPTOWN SMILE LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
411 WEST MAIN STREET, PO BOX 17, CANNON FALLS, MN, 55009
|
Signature of
Role |
Plan administrator |
Date |
2019-08-05 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-05 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2017
|
200750967
|
2018-10-15
|
UPTOWN SMILE LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
411 MAIN STREET, PO BOX 17, CANNON FALLS, MN, 55009
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2016
|
200750967
|
2017-06-27
|
UPTOWN SMILE LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-27 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2015
|
200750967
|
2016-06-28
|
UPTOWN SMILE LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2016-06-28 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-28 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2014
|
200750967
|
2015-08-18
|
UPTOWN SMILE LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2015-08-18 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-18 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2013
|
200750967
|
2014-05-27
|
UPTOWN SMILE LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2014-05-25 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-25 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2012
|
200750967
|
2013-05-23
|
UPTOWN SMILE LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2013-05-23 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-23 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2011
|
200750967
|
2012-06-21
|
UPTOWN SMILE LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
200750967 |
Plan administrator’s name |
UPTOWN SMILE LLC |
Plan administrator’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416 |
Administrator’s telephone number |
6128221484 |
Signature of
Role |
Plan administrator |
Date |
2012-06-21 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-21 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2010
|
200750967
|
2011-04-29
|
UPTOWN SMILE LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
200750967 |
Plan administrator’s name |
UPTOWN SMILE LLC |
Plan administrator’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416 |
Administrator’s telephone number |
6128221484 |
Signature of
Role |
Plan administrator |
Date |
2011-04-27 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-27 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UPTOWN SMILE LLC 401(K)PROFIT SHARING PLAN
|
2009
|
200750967
|
2010-10-12
|
UPTOWN SMILE LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128221484
|
Plan sponsor’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
200750967 |
Plan administrator’s name |
UPTOWN SMILE LLC |
Plan administrator’s
address |
3100 LAKE STREET, SUITE 305, MINNEAPOLIS, MN, 55416 |
Administrator’s telephone number |
6128221484 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
NANCY J. HAMILTON D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|