|
WOODLAND FAMILY DENTAL 401(K) PLAN
|
2014
|
411852318
|
2015-03-26
|
WOODLAND FAMILY DENTAL
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2187248227
|
| Plan sponsor’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803
|
Signature of
| Role |
Plan administrator |
| Date |
2015-03-26 |
| Name of individual signing |
JEFFREY SOMROCK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND FAMILY DENTAL 401(K) PLAN
|
2013
|
411852318
|
2014-05-30
|
WOODLAND FAMILY DENTAL
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2187248227
|
| Plan sponsor’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803
|
Plan administrator’s name and address
| Administrator’s EIN |
411852318 |
| Plan administrator’s name |
WOODLAND FAMILY DENTAL |
| Plan administrator’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803 |
| Administrator’s telephone number |
2187248227 |
Signature of
| Role |
Plan administrator |
| Date |
2014-05-30 |
| Name of individual signing |
JEFFREY SOMROCK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND FAMILY DENTAL 401(K) PLAN
|
2012
|
411852318
|
2013-06-12
|
WOODLAND FAMILY DENTAL
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2187248227
|
| Plan sponsor’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803
|
Plan administrator’s name and address
| Administrator’s EIN |
411852318 |
| Plan administrator’s name |
WOODLAND FAMILY DENTAL |
| Plan administrator’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803 |
| Administrator’s telephone number |
2187248227 |
Signature of
| Role |
Plan administrator |
| Date |
2013-06-12 |
| Name of individual signing |
JEFFREY SOMROCK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND FAMILY DENTAL 401(K) PLAN
|
2011
|
411852318
|
2012-06-27
|
WOODLAND FAMILY DENTAL
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2187248227
|
| Plan sponsor’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803
|
Plan administrator’s name and address
| Administrator’s EIN |
411852318 |
| Plan administrator’s name |
WOODLAND FAMILY DENTAL |
| Plan administrator’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803 |
| Administrator’s telephone number |
2187248227 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-27 |
| Name of individual signing |
JEFFREY SOMROCK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND FAMILY DENTAL 401(K) PLAN
|
2010
|
411852318
|
2011-08-01
|
WOODLAND FAMILY DENTAL
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2187248227
|
| Plan sponsor’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803
|
Plan administrator’s name and address
| Administrator’s EIN |
411852318 |
| Plan administrator’s name |
WOODLAND FAMILY DENTAL |
| Plan administrator’s
address |
22 E CALVARY ROAD, DULUTH, MN, 55803 |
| Administrator’s telephone number |
2187248227 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-01 |
| Name of individual signing |
JEFFREY SOMROCK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
