BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN
|
2023
|
201198234
|
2024-04-09
|
BOMSTAD DENTAL LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529387746
|
Plan sponsor’s
address |
911 1ST ST N, HOPKINS, MN, 553437526
|
Signature of
Role |
Plan administrator |
Date |
2024-04-09 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-09 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN
|
2022
|
201198234
|
2023-07-27
|
BOMSTAD DENTAL LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529387746
|
Plan sponsor’s
address |
911 1ST ST N, HOPKINS, MN, 553437526
|
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-27 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN
|
2021
|
201198234
|
2022-04-12
|
BOMSTAD DENTAL LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529387746
|
Plan sponsor’s
address |
911 1ST ST N, HOPKINS, MN, 553437526
|
Signature of
Role |
Plan administrator |
Date |
2022-04-12 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-12 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN
|
2020
|
201198234
|
2021-04-08
|
BOMSTAD DENTAL LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529387746
|
Plan sponsor’s
address |
911 1ST ST N, HOPKINS, MN, 553437526
|
Signature of
Role |
Plan administrator |
Date |
2021-04-08 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-08 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN
|
2019
|
201198234
|
2020-07-01
|
BOMSTAD DENTAL LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529387746
|
Plan sponsor’s
address |
911 1ST ST N, HOPKINS, MN, 553437526
|
Signature of
Role |
Plan administrator |
Date |
2020-07-01 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-01 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN
|
2018
|
201198234
|
2019-07-01
|
BOMSTAD DENTAL LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529387746
|
Plan sponsor’s
address |
911 1ST ST N, HOPKINS, MN, 553437526
|
Signature of
Role |
Plan administrator |
Date |
2019-07-01 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-01 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN
|
2017
|
201198234
|
2018-07-02
|
BOMSTAD DENTAL LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529387746
|
Plan sponsor’s
address |
911 1ST ST N, HOPKINS, MN, 553437526
|
Signature of
Role |
Plan administrator |
Date |
2018-07-02 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-02 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATCHER AND BOMSTAD DDS 401(K) AND PROFIT SHARING PLAN
|
2016
|
201198234
|
2017-05-16
|
BOMSTAD DENTAL LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529387746
|
Plan sponsor’s
address |
911 1ST ST N, HOPKINS, MN, 553437526
|
Signature of
Role |
Plan administrator |
Date |
2017-05-16 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-16 |
Name of individual signing |
KRIS BOMSTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|