PERSONA DENTAL 401(K) PLAN
|
2023
|
411859544
|
2024-03-04
|
PERSONA DENTAL, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2024-03-04 |
Name of individual signing |
TROY A SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-03-04 |
Name of individual signing |
TROY A SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2022
|
411859544
|
2023-04-24
|
PERSONA DENTAL, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2023-04-24 |
Name of individual signing |
BETH SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-24 |
Name of individual signing |
BETH SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2021
|
411859544
|
2022-04-26
|
PERSONA DENTAL, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2022-04-26 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-26 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2020
|
411859544
|
2021-03-22
|
PERSONA DENTAL, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2021-03-22 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-22 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2019
|
411859544
|
2020-07-01
|
PERSONA DENTAL, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2020-07-01 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-01 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2018
|
411859544
|
2019-05-02
|
PERSONA DENTAL, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2019-05-02 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-02 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2017
|
411859544
|
2018-06-26
|
PERSONA DENTAL, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2018-06-26 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-26 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2016
|
411859544
|
2017-07-06
|
PERSONA DENTAL, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2017-07-06 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-06 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2016
|
411859544
|
2017-07-06
|
PERSONA DENTAL, P.C.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2017-07-06 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-06 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERSONA DENTAL 401(K) PLAN
|
2015
|
411859544
|
2016-05-26
|
PERSONA DENTAL, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202512972
|
Plan sponsor’s
address |
2385 TROOP DRIVE, SUITE 201, SARTELL, MN, 56377
|
Signature of
Role |
Plan administrator |
Date |
2016-05-26 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-26 |
Name of individual signing |
TROY SCHMITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|