KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN
|
2020
|
411551307
|
2021-04-14
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY ROAD 42 WEST, SUITE 138, BURNSVILLE, MN, 553065907
|
Plan administrator’s name and address
Administrator’s EIN |
411551307 |
Plan administrator’s name |
KEITH A. KEMNITZ,D.D.S., P.A. |
Plan administrator’s
address |
2999 COUNTY ROAD 42 WEST, BURNSVILLE, MN, 553065907 |
Administrator’s telephone number |
9528941365 |
Signature of
Role |
Plan administrator |
Date |
2021-04-14 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAK, D.D.S., P.A. CASH BALANCE PLAN
|
2019
|
411551307
|
2020-12-21
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2020-12-21 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN
|
2019
|
411551307
|
2021-01-07
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907
|
Plan administrator’s name and address
Administrator’s EIN |
411551307 |
Plan administrator’s name |
KEITH A. KEMNITZ, D.D.S., P.A. |
Plan administrator’s
address |
2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907 |
Administrator’s telephone number |
9528941365 |
Signature of
Role |
Plan administrator |
Date |
2021-01-07 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAK, D.D.S., P.A. CASH BALANCE PLAN
|
2019
|
411551307
|
2020-12-18
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2020-12-18 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN
|
2018
|
411551307
|
2019-10-30
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907
|
Plan administrator’s name and address
Administrator’s EIN |
411551307 |
Plan administrator’s name |
KEITH A. KEMNITZ, D.D.S., P.A. |
Plan administrator’s
address |
2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907 |
Administrator’s telephone number |
9528941365 |
Signature of
Role |
Plan administrator |
Date |
2019-10-30 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAK, D.D.S., P.A. CASH BALANCE PLAN
|
2018
|
411551307
|
2019-11-25
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2019-11-24 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-11-24 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN
|
2017
|
411551307
|
2018-10-24
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907
|
Plan administrator’s name and address
Administrator’s EIN |
411551307 |
Plan administrator’s name |
KEITH A. KEMNITZ, D.D.S., P.A. |
Plan administrator’s
address |
2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907 |
Administrator’s telephone number |
9528941365 |
Signature of
Role |
Plan administrator |
Date |
2018-10-24 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAK, D.D.S., P.A. CASH BALANCE PLAN
|
2017
|
411551307
|
2018-12-21
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2018-12-21 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-12-21 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN
|
2016
|
411551307
|
2017-11-22
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907
|
Plan administrator’s name and address
Administrator’s EIN |
411551307 |
Plan administrator’s name |
KEITH A. KEMNITZ, D.D.S., P.A. |
Plan administrator’s
address |
2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907 |
Administrator’s telephone number |
9528941365 |
Signature of
Role |
Plan administrator |
Date |
2017-11-22 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAK, D.D.S., P.A. CASH BALANCE PLAN
|
2016
|
411551307
|
2017-12-02
|
KEITH A. KEMNITZ, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
9528941365
|
Plan sponsor’s
address |
2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2017-12-02 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-12-02 |
Name of individual signing |
KEITH KEMNITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|