|
CENTRASOTA DENTAL DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2017
|
200537846
|
2018-09-26
|
CENTRASOTA DENTAL, P.L.L.C.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3202523330
|
| Plan sponsor’s
address |
3950 VETERANS DRIVE, SUITE 101, ST. CLOUD, MN, 56303
|
|
|
CENTRASOTA DENTAL DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2016
|
200537846
|
2017-09-27
|
CENTRASOTA DENTAL, P.L.L.C.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3202523330
|
| Plan sponsor’s
address |
3950 VETERANS DRIVE, SUITE 101, ST. CLOUD, MN, 56303
|
Signature of
| Role |
Plan administrator |
| Date |
2017-09-27 |
| Name of individual signing |
ROBERT W. CONGDON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRASOTA DENTAL RETIREMENT PLAN & TRUST
|
2016
|
200537846
|
2017-03-15
|
CENTRASOTA DENTAL, P.L.L.C.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3202523330
|
| Plan sponsor’s
address |
3950 VETERANS DRIVE, SUITE 101, ST. CLOUD, MN, 56303
|
Signature of
| Role |
Plan administrator |
| Date |
2017-03-15 |
| Name of individual signing |
ROBERT CONGDON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRASOTA DENTAL RETIREMENT PLAN & TRUST
|
2015
|
200537846
|
2016-12-21
|
CENTRASOTA DENTAL, P.L.L.C.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3202523330
|
| Plan sponsor’s
address |
3950 VETERANS DRIVE, SUITE 101, ST. CLOUD, MN, 56303
|
Signature of
| Role |
Plan administrator |
| Date |
2016-12-21 |
| Name of individual signing |
ROBERT CONGDON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRASOTA DENTAL DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2015
|
200537846
|
2016-10-13
|
CENTRASOTA DENTAL, P.L.L.C.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3202523330
|
| Plan sponsor’s
address |
3950 VETERANS DRIVE, SUITE 101, ST. CLOUD, MN, 56303
|
Signature of
| Role |
Plan administrator |
| Date |
2016-10-13 |
| Name of individual signing |
ROBERT W. CONGDON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRASOTA DENTAL RETIREMENT PLAN & TRUST
|
2015
|
200537846
|
2016-10-13
|
CENTRASOTA DENTAL, P.L.L.C.
|
11
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3202523330
|
| Plan sponsor’s
address |
3950 VETERANS DRIVE, SUITE 101, ST. CLOUD, MN, 56303
|
Signature of
| Role |
Plan administrator |
| Date |
2016-10-13 |
| Name of individual signing |
ROBERT CONGDON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
