|
COMMUNITY DENTAL CARE 401(K) SAFE HARBOR PLAN
|
2012
|
043692982
|
2013-05-20
|
COMMUNITY DENTAL CARE
|
115
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6517742959
|
| Plan sponsor’s
address |
828 HAWTHORNE AVE E, SAINT PAUL, MN, 551063252
|
Signature of
| Role |
Plan administrator |
| Date |
2013-05-20 |
| Name of individual signing |
VACHAREE PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-05-20 |
| Name of individual signing |
VACHAREE PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMMUNITY DENTAL CARE 401(K) SAFE HARBOR PLAN
|
2011
|
043692982
|
2012-04-30
|
COMMUNITY DENTAL CARE
|
108
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6517742959
|
| Plan sponsor’s
address |
828 HAWTHORNE AVE E, SAINT PAUL, MN, 551063252
|
Plan administrator’s name and address
| Administrator’s EIN |
043692982 |
| Plan administrator’s name |
COMMUNITY DENTAL CARE |
| Plan administrator’s
address |
828 HAWTHORNE AVE E, SAINT PAUL, MN, 551063252 |
| Administrator’s telephone number |
6517742959 |
Signature of
| Role |
Plan administrator |
| Date |
2012-04-30 |
| Name of individual signing |
VACHAREE PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-04-30 |
| Name of individual signing |
VACHAREE PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMMUNITY DENTAL CARE 401(K) SAFE HARBOR PLAN
|
2010
|
043692982
|
2011-06-07
|
COMMUNITY DENTAL CARE
|
112
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6517742959
|
| Plan sponsor’s
address |
828 HAWTHORNE AVE E, SAINT PAUL, MN, 551063252
|
Plan administrator’s name and address
| Administrator’s EIN |
043692982 |
| Plan administrator’s name |
COMMUNITY DENTAL CARE |
| Plan administrator’s
address |
828 HAWTHORNE AVE E, SAINT PAUL, MN, 551063252 |
| Administrator’s telephone number |
6517742959 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-07 |
| Name of individual signing |
VACHAREE PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-06-07 |
| Name of individual signing |
VACHAREE PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMMUNITY DENTAL CARE 401(K) SAFE HARBOR PLAN
|
2009
|
043692982
|
2010-05-27
|
COMMUNITY DENTAL CARE
|
83
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6517742959
|
| Plan sponsor’s
address |
828 HAWTHORNE AVE E, SAINT PAUL, MN, 551063252
|
Plan administrator’s name and address
| Administrator’s EIN |
043692982 |
| Plan administrator’s name |
COMMUNITY DENTAL CARE |
| Plan administrator’s
address |
828 HAWTHORNE AVE E, SAINT PAUL, MN, 551063252 |
| Administrator’s telephone number |
6517742959 |
Signature of
| Role |
Plan administrator |
| Date |
2010-05-27 |
| Name of individual signing |
VACHAREE PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-05-27 |
| Name of individual signing |
VACHAREE PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
