ROBERT J. SCHESTAK, DMD, P.A. 401(K) PLAN
|
2018
|
411638192
|
2019-08-20
|
ROBERT J. SCHESTAK, DMD, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516991195
|
Plan sponsor’s
address |
1788 SUMMIT AVENUE, SAINT PAUL, MN, 55105
|
Signature of
Role |
Plan administrator |
Date |
2019-08-20 |
Name of individual signing |
ROBERT SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-20 |
Name of individual signing |
ROBERT SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J. SCHESTAK, DMD, P.A. 401(K) PLAN
|
2018
|
411638192
|
2019-06-12
|
ROBERT J. SCHESTAK, DMD, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516991195
|
Plan sponsor’s
address |
1788 SUMMIT AVENUE, SAINT PAUL, MN, 55105
|
Signature of
Role |
Plan administrator |
Date |
2019-06-12 |
Name of individual signing |
ROBERT SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J SCHESTAK, DMD P.A. 401K PLAN
|
2017
|
411638192
|
2018-05-20
|
ROBERT J SCHESTAK, DMD P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516993212
|
Plan sponsor’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 551051208
|
Signature of
Role |
Plan administrator |
Date |
2018-05-20 |
Name of individual signing |
ROBERT J SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-20 |
Name of individual signing |
ROBERT J SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J SCHESTAK, DMD P.A. 401K PLAN
|
2016
|
411638192
|
2017-05-21
|
ROBERT J SCHESTAK, DMD P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516993212
|
Plan sponsor’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 551051208
|
Signature of
Role |
Plan administrator |
Date |
2017-05-21 |
Name of individual signing |
ROBERT J. SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-21 |
Name of individual signing |
ROBERT J. SCHESTAK, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J SCHESTAK, DMD P.A. 401K PLAN
|
2015
|
411638192
|
2016-05-10
|
ROBERT J SCHESTAK, DMD P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516993212
|
Plan sponsor’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 551051208
|
Signature of
Role |
Plan administrator |
Date |
2016-05-10 |
Name of individual signing |
ROBERT J. SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-10 |
Name of individual signing |
ROBERT J. SCHESTAK, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J SCHESTAK, DMD P.A. 401K PLAN
|
2014
|
411638192
|
2015-10-12
|
ROBERT J SCHESTAK, DMD P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516993212
|
Plan sponsor’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 55105
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
ROBERT SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-12 |
Name of individual signing |
ROBERT SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J SCHESTAK, DMD P.A. 401K PLAN
|
2014
|
411638192
|
2015-04-09
|
ROBERT J SCHESTAK, DMD P.A.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516993212
|
Plan sponsor’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 55105
|
Signature of
Role |
Plan administrator |
Date |
2015-04-09 |
Name of individual signing |
ROBERT SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J SCHESTAK, DMD P.A. 401K PLAN
|
2013
|
411638192
|
2014-03-29
|
ROBERT J SCHESTAK, DMD P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516993212
|
Plan sponsor’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 55105
|
Signature of
Role |
Plan administrator |
Date |
2014-03-29 |
Name of individual signing |
ROBERT SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J SCHESTAK, DMD P.A. 401K PLAN
|
2012
|
411638192
|
2013-04-10
|
ROBERT J SCHESTAK, DMD P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516993212
|
Plan sponsor’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 55105
|
Signature of
Role |
Plan administrator |
Date |
2013-04-10 |
Name of individual signing |
ROBERT J. SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-10 |
Name of individual signing |
ROBERT J. SCHESTAK, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J SCHESTAK, DMD P.A. 401K PLAN
|
2011
|
411638192
|
2012-03-21
|
ROBERT J SCHESTAK, DMD P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6516993212
|
Plan sponsor’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 55105
|
Plan administrator’s name and address
Administrator’s EIN |
411638192 |
Plan administrator’s name |
ROBERT J SCHESTAK, DMD P.A. |
Plan administrator’s
address |
241 CLEVELAND AVE S, ST. PAUL, MN, 55105 |
Administrator’s telephone number |
6516993212 |
Signature of
Role |
Plan administrator |
Date |
2012-03-21 |
Name of individual signing |
ROBERT SCHESTAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|