PERRY DENTAL, LTD. 401(K) PLAN
|
2019
|
411829101
|
2020-06-17
|
PERRY DENTAL, LTD.
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6512674347
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2020-06-17 |
Name of individual signing |
JMOULTON3101 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD. 401(K) PLAN
|
2019
|
411829101
|
2020-06-30
|
PERRY DENTAL, LTD.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6512674347
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
JILL MOULTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD. 401(K) PLAN
|
2018
|
411829101
|
2019-06-07
|
PERRY DENTAL, LTD.
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6512674347
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2019-06-06 |
Name of individual signing |
JILL MOULTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD. 401(K) PLAN
|
2017
|
411829101
|
2018-07-30
|
PERRY DENTAL, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6515652888
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
JILL MOULTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD PROFIT SHARING PLAN
|
2016
|
411829101
|
2017-07-18
|
PERRY DENTAL, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6515652888
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
PHILLIP PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
PHILLIP PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD PROFIT SHARING PLAN
|
2015
|
411829101
|
2016-06-06
|
PERRY DENTAL, LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6515652888
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2016-06-06 |
Name of individual signing |
PHILLIP G PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-06 |
Name of individual signing |
PHILLIP G PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD PROFIT SHARING PLAN
|
2014
|
411829101
|
2015-07-02
|
PERRY DENTAL, LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6515652888
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2015-07-02 |
Name of individual signing |
PHILLIP PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-02 |
Name of individual signing |
PHILLIP PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD PROFIT SHARING PLAN
|
2013
|
411829101
|
2014-04-22
|
PERRY DENTAL, LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6515652888
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2014-04-22 |
Name of individual signing |
PHILLIP PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-22 |
Name of individual signing |
PHILLIP PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD PROFIT SHARING PLAN
|
2012
|
411829101
|
2013-07-23
|
PERRY DENTAL, LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6515652888
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
PHILLIP PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-23 |
Name of individual signing |
PHILLIP PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY DENTAL, LTD PROFIT SHARING PLAN
|
2011
|
411829101
|
2012-05-08
|
PERRY DENTAL, LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6515652888
|
Plan sponsor’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981
|
Plan administrator’s name and address
Administrator’s EIN |
411829101 |
Plan administrator’s name |
PERRY DENTAL, LTD |
Plan administrator’s
address |
1000 HIAWATHA DRIVE EAST, WABASHA, MN, 55981 |
Administrator’s telephone number |
6515652888 |
Signature of
Role |
Plan administrator |
Date |
2012-05-08 |
Name of individual signing |
PHILLIP G. PERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|