OXBORO DENTAL CARE 401(K) P/S PLAN
|
2023
|
411427901
|
2024-07-08
|
OXBORO DENTAL CARE
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 W 98TH ST, BLOOMINGTON, MN, 55420
|
Signature of
Role |
Plan administrator |
Date |
2024-07-08 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-08 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2022
|
411427901
|
2023-05-03
|
OXBORO DENTAL CARE
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2023-05-03 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2022
|
411427901
|
2023-02-26
|
OXBORO DENTAL CARE
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2023-02-26 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2021
|
411427901
|
2022-06-02
|
OXBORO DENTAL CARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2022-06-02 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2020
|
411427901
|
2021-04-13
|
OXBORO DENTAL CARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2021-04-13 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2019
|
411427901
|
2020-07-01
|
OXBORO DENTAL CARE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2020-07-01 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2018
|
411427901
|
2019-03-13
|
OXBORO DENTAL CARE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2019-03-13 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2017
|
411427901
|
2018-06-13
|
OXBORO DENTAL CARE
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2018-06-13 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2016
|
411427901
|
2017-06-06
|
OXBORO DENTAL CARE
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2017-06-06 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OXBORO DENTAL CARE 401(K) P/S PLAN
|
2015
|
411427901
|
2016-06-22
|
OXBORO DENTAL CARE
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528812243
|
Plan sponsor’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
Administrator’s EIN |
411427901 |
Plan administrator’s name |
OXBORO DENTAL CARE |
Plan administrator’s
address |
525 WEST 98TH STREET, BLOOMINGTON, MN, 55420 |
Administrator’s telephone number |
9528812243 |
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
MARK BACHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|