RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
411528285
|
2017-12-04
|
RIDGE POINT DENTAL CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
4663 PARKRIDGE DRIVE, EAGAN, MN, 55123
|
Signature of
Role |
Plan administrator |
Date |
2017-12-01 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-12-01 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
411528285
|
2017-02-06
|
RIDGE POINT DENTAL CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337
|
Signature of
Role |
Plan administrator |
Date |
2017-02-05 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-05 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
411528285
|
2016-02-01
|
RIDGE POINT DENTAL CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337
|
Signature of
Role |
Plan administrator |
Date |
2016-01-31 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-01-31 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
411528285
|
2015-02-09
|
RIDGE POINT DENTAL CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337
|
Signature of
Role |
Plan administrator |
Date |
2015-02-08 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-02-08 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
411528285
|
2014-06-20
|
RIDGE POINT DENTAL CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337
|
Signature of
Role |
Plan administrator |
Date |
2014-06-20 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-20 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
411528285
|
2013-06-24
|
RIDGE POINT DENTAL CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337
|
Signature of
Role |
Plan administrator |
Date |
2013-06-21 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-21 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
411528285
|
2012-05-21
|
RIDGE POINT DENTAL CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337
|
Plan administrator’s name and address
Administrator’s EIN |
411528285 |
Plan administrator’s name |
RIDGE POINT DENTAL CLINIC, P.A. |
Plan administrator’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337 |
Administrator’s telephone number |
9524354177 |
Signature of
Role |
Plan administrator |
Date |
2012-05-18 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-18 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
411528285
|
2011-04-22
|
RIDGE POINT DENTAL CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337
|
Plan administrator’s name and address
Administrator’s EIN |
411528285 |
Plan administrator’s name |
RIDGE POINT DENTAL CLINIC, P.A. |
Plan administrator’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337 |
Administrator’s telephone number |
9524354177 |
Signature of
Role |
Plan administrator |
Date |
2011-04-22 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-22 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIDGE POINT DENTAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
411528285
|
2010-07-20
|
RIDGE POINT DENTAL CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-03
|
Business code |
621210
|
Sponsor’s telephone number |
9524354177
|
Plan sponsor’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337
|
Plan administrator’s name and address
Administrator’s EIN |
411528285 |
Plan administrator’s name |
RIDGE POINT DENTAL CLINIC, P.A. |
Plan administrator’s
address |
14050 NICOLLET AVE. SO., SUITE 205, BURNSVILLE, MN, 55337 |
Administrator’s telephone number |
9524354177 |
Signature of
Role |
Plan administrator |
Date |
2010-07-17 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-17 |
Name of individual signing |
SHELDON PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|