|
MOSAIC DENTAL 401(K) PLAN
|
2020
|
823012869
|
2021-03-29
|
MOSAIC DENTAL
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2021-03-27 |
| Name of individual signing |
GLENN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-03-27 |
| Name of individual signing |
GLENN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOSAIC DENTAL 401(K) PLAN
|
2020
|
823012869
|
2021-08-02
|
MOSAIC DENTAL
|
36
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-26 |
| Name of individual signing |
GLENN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-26 |
| Name of individual signing |
GLENN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOSAIC DENTAL 401(K) PLAN
|
2019
|
823012869
|
2020-09-25
|
MOSAIC DENTAL
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-25 |
| Name of individual signing |
GLENN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-09-25 |
| Name of individual signing |
GLENN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOSAIC DENTAL 401(K) PLAN
|
2018
|
823012869
|
2019-07-14
|
MOSAIC DENTAL
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-14 |
| Name of individual signing |
GLENN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
