|
WOODLAND DENTISTRY LLC 401(K) P/S PLAN
|
2023
|
473938689
|
2024-08-28
|
WOODLAND DENTISTRY LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3207620279
|
| Plan sponsor’s
address |
1301 HAWTHORNE ST, ALEXANDRIA, MN, 56308
|
Signature of
| Role |
Plan administrator |
| Date |
2024-08-28 |
| Name of individual signing |
TYLER GEYEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND DENTISTRY LLC 401(K) P/S PLAN
|
2022
|
473938689
|
2023-03-14
|
WOODLAND DENTISTRY LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3207620279
|
| Plan sponsor’s
address |
1301 HAWTHORNE ST, ALEXANDRIA, MN, 56308
|
Plan administrator’s name and address
| Administrator’s EIN |
473938689 |
| Plan administrator’s name |
WOODLAND DENTISTRY LLC |
| Plan administrator’s
address |
1301 HAWTHORNE ST, ALEXANDRIA, MN, 56308 |
| Administrator’s telephone number |
3207620279 |
Signature of
| Role |
Plan administrator |
| Date |
2023-03-14 |
| Name of individual signing |
TYLER GEYEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND DENTISTRY LLC 401(K) P/S PLAN
|
2021
|
473938689
|
2022-10-20
|
WOODLAND DENTISTRY LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3207620279
|
| Plan sponsor’s
address |
1301 HAWTHORNE ST, ALEXANDRIA, MN, 56308
|
Plan administrator’s name and address
| Administrator’s EIN |
473938689 |
| Plan administrator’s name |
WOODLAND DENTISTRY LLC |
| Plan administrator’s
address |
1301 HAWTHORNE ST, ALEXANDRIA, MN, 56308 |
| Administrator’s telephone number |
3207620279 |
Signature of
| Role |
Plan administrator |
| Date |
2022-10-20 |
| Name of individual signing |
TYLER GEYEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND DENTISTRY LLC 401(K) P/S PLAN
|
2020
|
473938689
|
2021-10-13
|
WOODLAND DENTISTRY LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3207620279
|
| Plan sponsor’s
address |
1301 HAWTHORNE ST, ALEXANDRIA, MN, 56308
|
Plan administrator’s name and address
| Administrator’s EIN |
473938689 |
| Plan administrator’s name |
WOODLAND DENTISTRY LLC |
| Plan administrator’s
address |
1301 HAWTHORNE ST, ALEXANDRIA, MN, 56308 |
| Administrator’s telephone number |
3207620279 |
Signature of
| Role |
Plan administrator |
| Date |
2021-10-13 |
| Name of individual signing |
TYLER GEYEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
