FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2023
|
410969851
|
2024-06-21
|
FALLS COURT DENTISTS, P.A.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NE, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2024-06-21 |
Name of individual signing |
ALLISON CZAJKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2022
|
410969851
|
2023-10-16
|
FALLS COURT DENTISTS, P.A.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NE, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
ALLISON CZAJKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2021
|
410969851
|
2022-10-05
|
FALLS COURT DENTISTS, P.A.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NORTHEAST #4, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2022-10-05 |
Name of individual signing |
ALLISON CZAJKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2020
|
410969851
|
2021-09-15
|
FALLS COURT DENTISTS, P.A.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NORTHEAST #4, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2021-09-15 |
Name of individual signing |
ALLISON CZAJKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2019
|
410969851
|
2020-08-31
|
FALLS COURT DENTISTS, P.A.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NORTHEAST #4, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2020-08-31 |
Name of individual signing |
DAVE NYGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2018
|
410969851
|
2019-09-17
|
FALLS COURT DENTISTS, P.A.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NORTHEAST #4, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2019-09-17 |
Name of individual signing |
DAVE NYGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2017
|
410969851
|
2018-07-18
|
FALLS COURT DENTISTS, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NORTHEAST #4, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
DAVE NYGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2016
|
410969851
|
2017-07-21
|
FALLS COURT DENTISTS, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NORTHEAST #4, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2017-07-21 |
Name of individual signing |
DAVE NYGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALLS COURT DENTISTS, P.A. PROFIT SHARING 401(K) PLAN
|
2015
|
410969851
|
2016-07-28
|
FALLS COURT DENTISTS, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-08-10
|
Business code |
621210
|
Sponsor’s telephone number |
3206326621
|
Plan sponsor’s
address |
119 1ST STREET NORTHEAST #4, LITTLE FALLS, MN, 56345
|
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
TAMMY HINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|