DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
411266175
|
2024-06-17
|
DALSETH FAMILY & COSMETIC DENTISTRY, P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, ST. PAUL, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2024-06-17 |
Name of individual signing |
PASCAL DALSETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
411266175
|
2023-06-29
|
DALSETH FAMILY & COSMETIC DENTISTRY, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, ST. PAUL, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2023-06-29 |
Name of individual signing |
PASCAL DALSETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
411266175
|
2022-07-18
|
DALSETH FAMILY & COSMETIC DENTISTRY, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, ST. PAUL, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
PASCAL DALSETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN
|
2020
|
411266175
|
2021-07-13
|
DALSETH FAMILY & COSMETIC DENTISTRY P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, ST. PAUL, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
PASCAL DALSETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN
|
2019
|
411266175
|
2020-02-21
|
DALSETH FAMILY & COSMETIC DENTISTRY P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, ST. PAUL, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2020-02-21 |
Name of individual signing |
PASCAL DALSETH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-02-21 |
Name of individual signing |
PASCAL DALSETH D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN
|
2018
|
411266175
|
2019-05-20
|
DALSETH FAMILY & COSMETIC DENTISTRY P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, ST. PAUL, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2019-05-20 |
Name of individual signing |
PASCAL DALSETH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-20 |
Name of individual signing |
PASCAL DALSETH D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN
|
2017
|
411266175
|
2018-04-03
|
DALSETH FAMILY & COSMETIC DENTISTRY P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, APPLE VALLEY, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2018-04-02 |
Name of individual signing |
STEPHEN E. DALSETH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-02 |
Name of individual signing |
STEPHEN E. DALSETH D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN
|
2016
|
411266175
|
2017-05-19
|
DALSETH FAMILY & COSMETIC DENTISTRY P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, APPLE VALLEY, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2017-05-18 |
Name of individual signing |
STEPHEN E. DALSETH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-18 |
Name of individual signing |
STEPHEN E. DALSETH D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN
|
2015
|
411266175
|
2016-05-13
|
DALSETH FAMILY & COSMETIC DENTISTRY P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, APPLE VALLEY, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2016-05-13 |
Name of individual signing |
STEPHEN E. DALSETH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-13 |
Name of individual signing |
STEPHEN E. DALSETH D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN
|
2014
|
411266175
|
2015-07-17
|
DALSETH FAMILY & COSMETIC DENTISTRY P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9524321101
|
Plan sponsor’s
address |
14505 GLAZIER AVENUE, APPLE VALLEY, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2015-07-17 |
Name of individual signing |
STEPHEN E. DALSETH, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-17 |
Name of individual signing |
STEPHEN E. DALSETH D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|