OVERBY ORTHODONTICS LLC 401(K) PLAN
|
2023
|
412009076
|
2024-06-11
|
OVERBY ORTHODONTICS LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8002471425
|
Plan sponsor’s
address |
700 1ST AVE SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2024-06-11 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERBY ORTHODONTICS LLC 401(K) PLAN
|
2022
|
412009076
|
2023-06-06
|
OVERBY ORTHODONTICS LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8002471425
|
Plan sponsor’s
address |
700 1ST AVE SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2023-06-06 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERBY ORTHODONTICS LLC 401(K) PLAN
|
2021
|
412009076
|
2022-09-27
|
OVERBY ORTHODONTICS LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8002471425
|
Plan sponsor’s
address |
700 1ST AVE SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2022-09-27 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERBY ORTHODONTICS LLC 401(K) PLAN
|
2020
|
412009076
|
2021-06-10
|
OVERBY ORTHODONTICS LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8002471425
|
Plan sponsor’s
address |
700 1ST AVE SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2021-06-10 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERBY ORTHODONTICS LLC 401(K) PLAN
|
2019
|
412009076
|
2020-06-25
|
OVERBY ORTHODONTICS LLC
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8002471425
|
Plan sponsor’s
address |
700 1ST AVE SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2020-06-25 |
Name of individual signing |
TBLIESE7275 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERBY ORTHODONTICS LLC 401(K) PLAN
|
2019
|
412009076
|
2020-06-30
|
OVERBY ORTHODONTICS LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8002471425
|
Plan sponsor’s
address |
700 1ST AVE SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERBY ORTHODONTICS LLC 401(K) PLAN
|
2018
|
412009076
|
2019-06-04
|
OVERBY ORTHODONTICS LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8002471425
|
Plan sponsor’s
address |
700 1ST AVE SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2019-06-04 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERBY ORTHODONTICS LLC 401(K) PLAN
|
2017
|
412009076
|
2018-07-10
|
OVERBY ORTHODONTICS LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8002471425
|
Plan sponsor’s
address |
700 1ST AVE SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERYBY ORTHODONTICS, LLC 401(K) PLAN
|
2016
|
412009076
|
2017-04-26
|
OVERBY ORTHODONTICS, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074373269
|
Plan sponsor’s
address |
700 1ST STREET SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2017-04-26 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OVERYBY ORTHODONTICS, LLC 401(K) PLAN
|
2015
|
412009076
|
2016-07-01
|
OVERBY ORTHODONTICS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074373269
|
Plan sponsor’s
address |
700 1ST STREET SW, AUSTIN, MN, 55912
|
Signature of
Role |
Plan administrator |
Date |
2016-07-01 |
Name of individual signing |
TAYLOR BLIESE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|