FOREVER SMILES PLLC 401(K) PROFIT SHARING PLAN
|
2023
|
263780461
|
2024-04-04
|
FOREVER SMILES PLLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208643129
|
Plan sponsor’s
address |
2100 11TH STREET EAST, GLENCOE, MN, 55336
|
Signature of
Role |
Plan administrator |
Date |
2024-04-04 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-04 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREVER SMILES PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
263780461
|
2023-04-27
|
FOREVER SMILES PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208643129
|
Plan sponsor’s
address |
2100 11TH STREET EAST, GLENCOE, MN, 55336
|
Signature of
Role |
Plan administrator |
Date |
2023-04-27 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-27 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREVER SMILES PLLC 401(K) PROFIT SHARING PLAN
|
2021
|
263780461
|
2022-05-31
|
FOREVER SMILES PLLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208643129
|
Plan sponsor’s
address |
2100 11TH STREET EAST, GLENCOE, MN, 55336
|
Signature of
Role |
Plan administrator |
Date |
2022-05-31 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-31 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREVER SMILES PLLC 401(K) PROFIT SHARING PLAN
|
2020
|
263780461
|
2021-06-21
|
FOREVER SMILES PLLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208643129
|
Plan sponsor’s
address |
2100 11TH STREET EAST, GLENCOE, MN, 55336
|
Signature of
Role |
Plan administrator |
Date |
2021-06-21 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-21 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREVER SMILES PLLC 401(K) PROFIT SHARING PLAN
|
2019
|
263780461
|
2020-08-20
|
FOREVER SMILES PLLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208643129
|
Plan sponsor’s
address |
2100 11TH STREET EAST, GLENCOE, MN, 55336
|
Signature of
Role |
Plan administrator |
Date |
2020-08-20 |
Name of individual signing |
JESSICA BAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-20 |
Name of individual signing |
JESSICA BAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREVER SMILES PLLC 401(K) PROFIT SHARING PLAN
|
2019
|
263780461
|
2020-07-15
|
FOREVER SMILES PLLC
|
24
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208643129
|
Plan sponsor’s
address |
2100 11TH STREET EAST, GLENCOE, MN, 55336
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-15 |
Name of individual signing |
SHAWN KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREVER SMILES PLLC 401(K) PROFIT SHARING PLAN
|
2018
|
263780461
|
2019-07-25
|
FOREVER SMILES PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208643129
|
Plan sponsor’s
address |
2100 11TH STREET EAST, GLENCOE, MN, 55336
|
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
SHAWN D KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-25 |
Name of individual signing |
SHAWN D KNORR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|