|
SOUTH MAIN DENTAL, P.A. 401(K) PLAN
|
2023
|
030487590
|
2024-06-03
|
SOUTH MAIN DENTAL, P.A.
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635521616
|
| Plan sponsor’s
address |
538 SOUTH MAIN STREET, SUITE 130, CAMBRIDGE, MN, 55008
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-03 |
| Name of individual signing |
JAY PIERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTH MAIN DENTAL, P.A. 401(K) PLAN
|
2022
|
030487590
|
2023-09-05
|
SOUTH MAIN DENTAL, P.A.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635521616
|
| Plan sponsor’s
address |
538 SOUTH MAIN STREET, SUITE 130, CAMBRIDGE, MN, 55008
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-05 |
| Name of individual signing |
MELISSA PIERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTH MAIN DENTAL, P.A. 401(K) PLAN
|
2021
|
030487590
|
2022-08-30
|
SOUTH MAIN DENTAL, P.A.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635521616
|
| Plan sponsor’s
address |
538 SOUTH MAIN STREET, SUITE 130, CAMBRIDGE, MN, 55008
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-30 |
| Name of individual signing |
MELISSA PIERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTH MAIN DENTAL, P.A. 401(K) PLAN
|
2020
|
030487590
|
2021-07-19
|
SOUTH MAIN DENTAL, P.A.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635521616
|
| Plan sponsor’s
address |
538 SOUTH MAIN STREET, SUITE 130, CAMBRIDGE, MN, 55008
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-19 |
| Name of individual signing |
MELISSA PIERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
