|
EAGAN VALLEY DENTAL CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
411574323
|
2017-07-10
|
EAGAN VALLEY DENTAL CENTER, P.A.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-10 |
| Name of individual signing |
GLEN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAGAN VALLEY DENTAL CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
411574323
|
2016-07-08
|
EAGAN VALLEY DENTAL CENTER, P.A.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-08 |
| Name of individual signing |
GLEN PERKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAGAN VALLEY DENTAL CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
411574323
|
2015-07-20
|
EAGAN VALLEY DENTAL CENTER, P.A.
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-20 |
| Name of individual signing |
JOHN MITTELSTEADT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAGAN VALLEY DENTAL CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
411574323
|
2014-07-30
|
EAGAN VALLEY DENTAL CENTER, P.A.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-30 |
| Name of individual signing |
JOHN MITTELSTEADT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAGAN VALLEY DENTAL CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
411574323
|
2013-05-30
|
EAGAN VALLEY DENTAL CENTER, P.A.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-02-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6516819044
|
| Plan sponsor’s
address |
4555 ERIN DRIVE, SUITE 180, EAGAN, MN, 55122
|
Signature of
| Role |
Plan administrator |
| Date |
2013-05-30 |
| Name of individual signing |
JOHN MITTELSTEADT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
