KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2023
|
410982241
|
2024-05-07
|
KASSON DENTAL CLINIC LTD
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
6088483464
|
Plan sponsor’s
address |
305 W MAIN ST, KASSON, MN, 559441139
|
Plan administrator’s name and address
Administrator’s EIN |
391789350 |
Plan administrator’s name |
JOHN C HAMILL CPA |
Plan administrator’s
address |
161 HORIZON DR #103A, VERONA, WI, 53593 |
Administrator’s telephone number |
6088483464 |
Signature of
Role |
Plan administrator |
Date |
2024-05-07 |
Name of individual signing |
JOHN HAMILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2022
|
410982241
|
2024-01-26
|
KASSON DENTAL CLINIC LTD
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s
address |
305 W MAIN ST, KASSON, MN, 559441139
|
Plan administrator’s name and address
Administrator’s EIN |
391789350 |
Plan administrator’s name |
JOHN C HAMILL |
Plan administrator’s
address |
161 HORIZON DR STE 103A, VERONA, WI, 535931249 |
Administrator’s telephone number |
6088483464 |
Signature of
Role |
Plan administrator |
Date |
2024-01-26 |
Name of individual signing |
JOHN HAMILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2021
|
410982241
|
2022-06-30
|
KASSON DENTAL CLINIC LTD
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s
address |
305 W MAIN ST, KASSON, MN, 559441139
|
Plan administrator’s name and address
Administrator’s EIN |
391789350 |
Plan administrator’s name |
JOHN C HAMILL |
Plan administrator’s
address |
161 HORIZON DR STE 103A, VERONA, WI, 535931249 |
Administrator’s telephone number |
6088483464 |
Signature of
Role |
Plan administrator |
Date |
2022-06-30 |
Name of individual signing |
JOHN HAMILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2020
|
410982241
|
2021-06-18
|
KASSON DENTAL CLINIC LTD
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s
address |
305 W MAIN ST, KASSON, MN, 559441139
|
Plan administrator’s name and address
Administrator’s EIN |
391789350 |
Plan administrator’s name |
JOHN C HAMILL |
Plan administrator’s
address |
161 HORIZON DR STE 103A, VERONA, WI, 535931249 |
Administrator’s telephone number |
6088483464 |
Signature of
Role |
Plan administrator |
Date |
2021-06-18 |
Name of individual signing |
JOHN HAMILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2019
|
410982241
|
2020-07-15
|
KASSON DENTAL CLINIC LTD
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s
address |
305 W MAIN ST, KASSON, MN, 559441139
|
Plan administrator’s name and address
Administrator’s EIN |
410982241 |
Plan administrator’s name |
SCOTT A WINKLE DDS |
Plan administrator’s
address |
305 W MAIN ST, KASSON, MN, 559441139 |
Administrator’s telephone number |
5076346421 |
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
JOHN HAMILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2017
|
410982241
|
2018-07-05
|
KASSON DENTAL CLINIC LTD
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s
address |
305 W MAIN ST, KASSON, MN, 559441139
|
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
JOHN HAMILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-05 |
Name of individual signing |
JOHN HAMILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2015
|
410982241
|
2016-06-17
|
KASSON DENTAL CLINIC LTD
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s mailing address |
305 W MAIN STREET, KASSON, MN, 559441139
|
Plan sponsor’s
address |
305 W MAIN STREET, KASSON, MN, 55944
|
Number of participants as of the end of the plan year
Active participants |
16 |
Number of
participants
with
account balances as of the end of the plan year |
16 |
Signature of
Role |
Plan administrator |
Date |
2016-06-17 |
Name of individual signing |
JOHN C HAMILL CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-17 |
Name of individual signing |
JOHN C HAMILL CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2016-06-17 |
Name of individual signing |
JOHN C HAMILL CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2014
|
410982241
|
2015-06-09
|
KASSON DENTAL CLINIC LTD
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s mailing address |
305 W MAIN STREET, KASSON, MN, 559441139
|
Plan sponsor’s
address |
305 W MAIN STREET, KASSON, MN, 55944
|
Number of participants as of the end of the plan year
Active participants |
16 |
Number of
participants
with
account balances as of the end of the plan year |
16 |
Signature of
Role |
Plan administrator |
Date |
2015-06-09 |
Name of individual signing |
JOHN HAMILL CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2013
|
410982241
|
2014-06-19
|
KASSON DENTAL CLINIC LTD
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s mailing address |
305 W MAIN STREET, KASSON, MN, 559441139
|
Plan sponsor’s
address |
305 W MAIN STREET, KASSON, MN, 55944
|
Number of participants as of the end of the plan year
Active participants |
17 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
18 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
KASSON DENTAL CLINIC LTD PROFIT SHARING PLAN
|
2012
|
410982241
|
2013-07-22
|
KASSON DENTAL CLINIC LTD
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
5076346421
|
Plan sponsor’s mailing address |
305 W MAIN STREET, KASSON, MN, 559441139
|
Plan sponsor’s
address |
305 W MAIN STREET, KASSON, MN, 55944
|
Number of participants as of the end of the plan year
Active participants |
15 |
Number of
participants
with
account balances as of the end of the plan year |
15 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
MICHAEL W SPITEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|