|
ALBANY FAMILY DENTISTRY, P.A. 401(K) PLAN
|
2023
|
270323440
|
2024-05-06
|
ALBANY FAMILY DENTISTRY, P.A.
|
25
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8558458415
|
| Plan sponsor’s
address |
360 RAILROAD AVENUE, SUITE 1 PO BOX, ALBANY, MN, 56307
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-06 |
| Name of individual signing |
JASON SPYCHALA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBANY FAMILY DENTISTRY, P.A. 401(K) PLAN
|
2022
|
270323440
|
2023-06-15
|
ALBANY FAMILY DENTISTRY, P.A.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8558458415
|
| Plan sponsor’s
address |
360 RAILROAD AVENUE, SUITE 1 PO BOX, ALBANY, MN, 56307
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-15 |
| Name of individual signing |
JASON SPYCHALA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBANY FAMILY DENTISTRY, P.A. 401(K) PLAN
|
2021
|
270323440
|
2022-07-26
|
ALBANY FAMILY DENTISTRY, P.A.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3208452032
|
| Plan sponsor’s
address |
360 RAILROAD AVENUE, SUITE 1, ALBANY, MN, 56307
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-26 |
| Name of individual signing |
JASON SPYCHALA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBANY FAMILY DENTISTRY, P.A. 401(K) PLAN
|
2020
|
270323440
|
2021-07-21
|
ALBANY FAMILY DENTISTRY, P.A.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3208452032
|
| Plan sponsor’s
address |
360 RAILROAD AVENUE, SUITE 1, ALBANY, MN, 56307
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-21 |
| Name of individual signing |
JASON SPYCHALA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBANY FAMILY DENTISTRY, P.A. 401(K) PLAN
|
2019
|
270323440
|
2020-07-21
|
ALBANY FAMILY DENTISTRY, P.A.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3208452032
|
| Plan sponsor’s
address |
360 RAILROAD AVENUE, SUITE 1, ALBANY, MN, 56307
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-21 |
| Name of individual signing |
JASON SPYCHALA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBANY FAMILY DENTISTRY, P.A. 401(K) PLAN
|
2018
|
270323440
|
2019-07-31
|
ALBANY FAMILY DENTISTRY, P.A.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3208452032
|
| Plan sponsor’s
address |
360 RAILROAD AVENUE, SUITE 1, ALBANY, MN, 56307
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-31 |
| Name of individual signing |
JASON SPYCHALA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
