JOANN C. BORAAS, D.D.S., P.A. EMPLOYEES' RETIREMENT PLAN
|
2012
|
411623291
|
2013-07-25
|
JOANN C. BORAAS, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128664041
|
Plan sponsor’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232081
|
Signature of
Role |
Plan administrator |
Date |
2013-07-24 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-24 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOANN C. BORAAS, D.D.S., P.A. EMPLOYEES' RETIREMENT PLAN
|
2012
|
411623291
|
2013-04-10
|
JOANN C. BORAAS, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128664041
|
Plan sponsor’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232081
|
Signature of
Role |
Plan administrator |
Date |
2013-04-10 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-10 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOANN C. BORAAS, D.D.S., P.A. EMPLOYEES RETIREMENT PLAN
|
2011
|
411623291
|
2012-05-09
|
JOANN C. BORAAS, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128664041
|
Plan sponsor’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232081
|
Plan administrator’s name and address
Administrator’s EIN |
411623291 |
Plan administrator’s name |
JOANN C. BORAAS, D.D.S., P.A. |
Plan administrator’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232081 |
Administrator’s telephone number |
6128664041 |
Signature of
Role |
Plan administrator |
Date |
2012-05-08 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-08 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOANN C. BORAAS, D.D.S., P.A. EMPLOYEES RETIREMENT PLAN
|
2010
|
411623291
|
2011-02-23
|
JOANN C. BORAAS, D.D.S., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128664041
|
Plan sponsor’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232081
|
Plan administrator’s name and address
Administrator’s EIN |
411623291 |
Plan administrator’s name |
JOANN C. BORAAS, D.D.S., P.A. |
Plan administrator’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232081 |
Administrator’s telephone number |
6128664041 |
Signature of
Role |
Plan administrator |
Date |
2011-02-23 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-23 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOANN C. BORAAS, D.D.S., P.A. EMPLOYEES RETIREMENT PLAN
|
2009
|
411623291
|
2010-04-22
|
JOANN C. BORAAS, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128664041
|
Plan sponsor’s mailing address |
6945 PENN AVE. S., RICHFIELD, MN, 554232801
|
Plan sponsor’s
address |
JOANN C. BORAAS, 6945 PENN AVENUE SOUTH, RICHFIELD, MN, 55423
|
Plan administrator’s name and address
Administrator’s EIN |
411623291 |
Plan administrator’s name |
JOANN C. BORAAS, D.D.S., P.A. |
Plan administrator’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232801 |
Administrator’s telephone number |
6128664041 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-04-22 |
Name of individual signing |
JOANN BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOANN C. BORAAS, D.D.S., P.A. EMPLOYEES RETIREMENT PLAN
|
2009
|
411623291
|
2010-07-14
|
JOANN C. BORAAS, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6128664041
|
Plan sponsor’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232801
|
Plan administrator’s name and address
Administrator’s EIN |
411623291 |
Plan administrator’s name |
JOANN C. BORAAS, D.D.S., P.A. |
Plan administrator’s
address |
6945 PENN AVE. S., RICHFIELD, MN, 554232801 |
Administrator’s telephone number |
6128664041 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
JOANN C. BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
JOANN C. BORAAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|