|
LUNA LAND DENTAL CORP. DBA CLEAR LAKES DENTAL 401(K) PROFIT SHARI
|
2021
|
821377560
|
2022-07-09
|
LUNA LAND DENTAL CORP.
|
51
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
339110
|
| Sponsor’s telephone number |
7637123214
|
| Plan sponsor’s
address |
4080 W. BROADWAY AVENUE, SUITE 308, ROBBINSDALE, MN, 55422
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-09 |
| Name of individual signing |
JI PARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUNA LAND DENTAL CORP. DBA CLEAR LAKES DENTAL 401(K) PROFIT SHARI
|
2020
|
821377560
|
2021-08-11
|
LUNA LAND DENTAL CORP.
|
42
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
339110
|
| Sponsor’s telephone number |
6517887045
|
| Plan sponsor’s
address |
393 DUNLAP STREET NORTH, SUITE 308, SAINT PAUL, MN, 55104
|
Signature of
| Role |
Plan administrator |
| Date |
2021-08-11 |
| Name of individual signing |
JI PARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUNA LAND DENTAL CORP. DBA CLEAR LAKES DENTAL 401(K) PROFIT SHARI
|
2019
|
821377560
|
2020-06-25
|
LUNA LAND DENTAL CORP.
|
22
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
339110
|
| Sponsor’s telephone number |
6517887045
|
| Plan sponsor’s
address |
393 DUNLAP STREET NORTH, SUITE 308, SAINT PAUL, MN, 55104
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-25 |
| Name of individual signing |
JPARK4522 |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUNA LAND DENTAL CORP. DBA CLEAR LAKES DENTAL 401(K) PROFIT SHARI
|
2019
|
821377560
|
2020-06-30
|
LUNA LAND DENTAL CORP.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
339110
|
| Sponsor’s telephone number |
6517887045
|
| Plan sponsor’s
address |
393 DUNLAP STREET NORTH, SUITE 308, SAINT PAUL, MN, 55104
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-30 |
| Name of individual signing |
JI PARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUNA LAND DENTAL CORP 401 K PROFIT SHARING PLAN TRUST
|
2018
|
821377560
|
2019-06-28
|
LUNA LAND DENTAL CORP
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
339110
|
| Sponsor’s telephone number |
4437590910
|
| Plan sponsor’s
address |
393 NORTH DUNLAP STREET SUITE 308, SAINT PAUL, MN, 55104
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-28 |
| Name of individual signing |
JI PARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
