GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2023
|
273155032
|
2024-10-29
|
GREAT RIVER ENDODONTICS, P.A.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2024-10-28 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-28 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2022
|
273155032
|
2023-11-01
|
GREAT RIVER ENDODONTICS, P.A.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2023-10-31 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-31 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2021
|
273155032
|
2022-10-24
|
GREAT RIVER ENDODONTICS, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2022-10-24 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-24 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2020
|
273155032
|
2021-10-29
|
GREAT RIVER ENDODONTICS, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2021-10-28 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-28 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2019
|
273155032
|
2020-12-09
|
GREAT RIVER ENDODONTICS, P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2020-12-09 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-12-09 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2018
|
273155032
|
2019-10-23
|
GREAT RIVER ENDODONTICS, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2019-10-23 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-23 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2017
|
273155032
|
2018-11-21
|
GREAT RIVER ENDODONTICS, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2018-11-16 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-16 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2016
|
273155032
|
2017-11-15
|
GREAT RIVER ENDODONTICS, P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2017-11-14 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-14 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2015
|
273155032
|
2016-11-28
|
GREAT RIVER ENDODONTICS, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2016-11-25 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-11-25 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN
|
2014
|
273155032
|
2016-03-10
|
GREAT RIVER ENDODONTICS, P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3202595078
|
Plan sponsor’s
address |
622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301
|
Signature of
Role |
Plan administrator |
Date |
2016-03-10 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-10 |
Name of individual signing |
THOMAS KARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|