|
A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2013
|
410985735
|
2014-08-25
|
A GENTLE DENTAL CENTER, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635374531
|
| Plan sponsor’s mailing address |
5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 554421571
|
| Plan sponsor’s
address |
A GENTLE DENTAL CENTER, P.A., 5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 55442
|
Number of participants as of the end of the plan year
| Active participants |
6 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| 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 |
2014-08-25 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-08-25 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2012
|
410985735
|
2013-11-21
|
A GENTLE DENTAL CENTER, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635374531
|
| Plan sponsor’s mailing address |
5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 554421571
|
| Plan sponsor’s
address |
A GENTLE DENTAL CENTER, P.A., 5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 55442
|
Number of participants as of the end of the plan year
| Active participants |
6 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| 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 |
2013-11-21 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-11-21 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2011
|
410985735
|
2013-02-19
|
A GENTLE DENTAL CENTER, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635374531
|
| Plan sponsor’s mailing address |
5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 554421571
|
| Plan sponsor’s
address |
A GENTLE DENTAL CENTER, P.A., 5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 55442
|
Plan administrator’s name and address
| Administrator’s EIN |
410985735 |
| Plan administrator’s name |
A GENTLE DENTAL CENTER, P.A. |
| Plan administrator’s
address |
5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 554421571 |
| Administrator’s telephone number |
7635374531 |
Number of participants as of the end of the plan year
| Active participants |
6 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| 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 |
2013-02-18 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-02-18 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2010
|
410985735
|
2011-11-23
|
A GENTLE DENTAL CENTER, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635374531
|
| Plan sponsor’s mailing address |
5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 554421571
|
| Plan sponsor’s
address |
A GENTLE DENTAL CENTER, P.A., 5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 55442
|
Plan administrator’s name and address
| Administrator’s EIN |
410985735 |
| Plan administrator’s name |
A GENTLE DENTAL CENTER, P.A. |
| Plan administrator’s
address |
5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 554421571 |
| Administrator’s telephone number |
7635374531 |
Number of participants as of the end of the plan year
| Active participants |
6 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| 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 |
2011-11-23 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-11-23 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN
|
2009
|
410985735
|
2011-01-28
|
A GENTLE DENTAL CENTER, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1972-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7635374531
|
| Plan sponsor’s mailing address |
5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 554421571
|
| Plan sponsor’s
address |
A GENTLE DENTAL CENTER, P.A., 5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 55442
|
Plan administrator’s name and address
| Administrator’s EIN |
410985735 |
| Plan administrator’s name |
A GENTLE DENTAL CENTER, P.A. |
| Plan administrator’s
address |
5705 EVERGREEN LANE NORTH, PLYMOUTH, MN, 554421571 |
| Administrator’s telephone number |
7635374531 |
Number of participants as of the end of the plan year
| Active participants |
6 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| 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 |
2011-01-27 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-27 |
| Name of individual signing |
WILLIAM PUCEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
