|
DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2013
|
411384316
|
2014-06-18
|
DENTAL ASSOCIATES
|
26
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2188472624
|
| Plan sponsor’s
address |
1136 WASHINGTON AVENUE, DETROIT LAKES, MN, 56501
|
Signature of
| Role |
Plan administrator |
| Date |
2014-06-18 |
| Name of individual signing |
CAROLYN ZUNICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2012
|
411384316
|
2013-07-10
|
DENTAL ASSOCIATES
|
26
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2188472624
|
| Plan sponsor’s
address |
1136 WASHINGTON AVENUE, DETROIT LAKES, MN, 56501
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-10 |
| Name of individual signing |
CAROLYN ZUNICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2011
|
411384316
|
2012-07-06
|
DENTAL ASSOCIATES
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2188472624
|
| Plan sponsor’s
address |
1136 WASHINGTON AVENUE, DETROIT LAKES, MN, 56501
|
Plan administrator’s name and address
| Administrator’s EIN |
411384316 |
| Plan administrator’s name |
DENTAL ASSOCIATES |
| Plan administrator’s
address |
1136 WASHINGTON AVENUE, DETROIT LAKES, MN, 56501 |
| Administrator’s telephone number |
2188472624 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-06 |
| Name of individual signing |
CAROLYN ZUNICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2010
|
411384316
|
2011-07-01
|
DENTAL ASSOCIATES
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2188472624
|
| Plan sponsor’s
address |
1136 WASHINGTON AVENUE, DETROIT LAKES, MN, 56501
|
Plan administrator’s name and address
| Administrator’s EIN |
411384316 |
| Plan administrator’s name |
DENTAL ASSOCIATES |
| Plan administrator’s
address |
1136 WASHINGTON AVENUE, DETROIT LAKES, MN, 56501 |
| Administrator’s telephone number |
2188472624 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-01 |
| Name of individual signing |
CAROLYN ZUNICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
