ELK RIVER FAMILY DENTISTRY 401(K) PLAN
|
2023
|
411727348
|
2024-06-04
|
ELK RIVER FAMILY DENTISTRY, P.A.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7632347031
|
Plan sponsor’s
address |
303 MAIN ST, ELK RIVER, MN, 55330
|
Signature of
Role |
Plan administrator |
Date |
2024-06-04 |
Name of individual signing |
MICHELLE RAMERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELK RIVER FAMILY DENTISTRY 401(K) PLAN
|
2022
|
411727348
|
2023-05-22
|
ELK RIVER FAMILY DENTISTRY, P.A.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7632347031
|
Plan sponsor’s
address |
303 MAIN ST, ELK RIVER, MN, 55330
|
Signature of
Role |
Plan administrator |
Date |
2023-05-22 |
Name of individual signing |
MICHELLE RAMERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-22 |
Name of individual signing |
MICHELLE RAMERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELK RIVER FAMILY DENTISTRY 401(K) PLAN
|
2021
|
411727348
|
2022-05-05
|
ELK RIVER FAMILY DENTISTRY, P.A.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7634419181
|
Plan sponsor’s
address |
303 MAIN ST, ELK RIVER, MN, 55330
|
Signature of
Role |
Plan administrator |
Date |
2022-05-05 |
Name of individual signing |
LYNN KRATOCHWILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELK RIVER FAMILY DENTISTRY 401(K) PLAN
|
2020
|
411727348
|
2021-04-29
|
ELK RIVER FAMILY DENTISTRY, P.A.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7634419181
|
Plan sponsor’s
address |
303 MAIN ST, ELK RIVER, MN, 55330
|
Signature of
Role |
Plan administrator |
Date |
2021-04-29 |
Name of individual signing |
LYNETTE KRATOCHWILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELK RIVER FAMILY DENTISTRY 401(K) PLAN
|
2019
|
411727348
|
2020-05-20
|
ELK RIVER FAMILY DENTISTRY, P.A.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7634419181
|
Plan sponsor’s
address |
303 MAIN ST, ELK RIVER, MN, 55330
|
Signature of
Role |
Plan administrator |
Date |
2020-05-20 |
Name of individual signing |
LYNN KAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELK RIVER FAMILY DENTISTRY 401(K) PLAN
|
2018
|
411727348
|
2019-05-14
|
ELK RIVER FAMILY DENTISTRY, P.A.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7634419181
|
Plan sponsor’s
address |
303 MAIN ST, ELK RIVER, MN, 55330
|
Signature of
Role |
Plan administrator |
Date |
2019-05-14 |
Name of individual signing |
LYNETTE KRATOCHWILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELK RIVER FAMILY DENTISTRY 401(K) PLAN
|
2017
|
411727348
|
2018-10-02
|
ELK RIVER FAMILY DENTISTRY, P.A.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7634419181
|
Plan sponsor’s
address |
303 MAIN ST, ELK RIVER, MN, 55330
|
Signature of
Role |
Plan administrator |
Date |
2018-10-02 |
Name of individual signing |
LYNETTE KRATOCHWILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|