|
TOWN DENTAL 401(K) P/S PLAN
|
2011
|
410956284
|
2012-05-02
|
TOWN DENTAL
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9524746133
|
| Plan sponsor’s
address |
425 SECOND ST, EXCELSIOR, MN, 55331
|
Plan administrator’s name and address
| Administrator’s EIN |
410956284 |
| Plan administrator’s name |
TOWN DENTAL |
| Plan administrator’s
address |
425 SECOND ST, EXCELSIOR, MN, 55331 |
| Administrator’s telephone number |
9524746133 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-02 |
| Name of individual signing |
BECKY GRIMM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TOWN DENTAL 401(K) P/S PLAN
|
2010
|
410956284
|
2011-03-09
|
TOWN DENTAL
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9524746133
|
| Plan sponsor’s
address |
425 SECOND ST, EXCELSIOR, MN, 55331
|
Plan administrator’s name and address
| Administrator’s EIN |
410956284 |
| Plan administrator’s name |
TOWN DENTAL |
| Plan administrator’s
address |
425 SECOND ST, EXCELSIOR, MN, 55331 |
| Administrator’s telephone number |
9524746133 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-09 |
| Name of individual signing |
BECKY GRIMM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TOWN DENTAL 401(K) P/S PLAN
|
2009
|
410956284
|
2010-08-05
|
TOWN DENTAL
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9524746133
|
| Plan sponsor’s
address |
425 SECOND ST, EXCELSIOR, MN, 55331
|
Plan administrator’s name and address
| Administrator’s EIN |
410956284 |
| Plan administrator’s name |
TOWN DENTAL |
| Plan administrator’s
address |
425 SECOND ST, EXCELSIOR, MN, 55331 |
| Administrator’s telephone number |
9524746133 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-05 |
| Name of individual signing |
DAVID HARVIEUX |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
