BLUESTEM DENTAL, PLLC 401(K) PLAN
|
2023
|
842543566
|
2024-07-25
|
BLUESTEM DENTAL, PLLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208424191
|
Plan sponsor’s
address |
33494 290TH AVENUE, BENSON, MN, 56215
|
Signature of
Role |
Plan administrator |
Date |
2024-07-24 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-24 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUESTEM DENTAL, PLLC 401(K) PLAN
|
2022
|
842543566
|
2023-07-12
|
BLUESTEM DENTAL, PLLC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208424191
|
Plan sponsor’s
address |
33494 290TH AVENUE, BENSON, MN, 56215
|
Signature of
Role |
Plan administrator |
Date |
2023-07-12 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-12 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUESTEM DENTAL, PLLC 401(K) PLAN
|
2021
|
842543566
|
2022-10-14
|
BLUESTEM DENTAL, PLLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208424191
|
Plan sponsor’s
address |
33494 290TH AVENUE, BENSON, MN, 56215
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-14 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUESTEM DENTAL, PLLC 401(K) PLAN
|
2020
|
842543566
|
2021-08-25
|
BLUESTEM DENTAL, PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208424191
|
Plan sponsor’s
address |
33494 290TH AVENUE, BENSON, MN, 56215
|
Signature of
Role |
Plan administrator |
Date |
2021-08-25 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-25 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUESTEM DENTAL, PLLC 401(K) PLAN
|
2019
|
842543566
|
2020-09-30
|
BLUESTEM DENTAL, PLLC
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208424191
|
Plan sponsor’s
address |
33494 290TH AVENUE, BENSON, MN, 56215
|
Signature of
Role |
Plan administrator |
Date |
2020-09-30 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-30 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUESTEM DENTAL, PLLC 401(K) PLAN
|
2019
|
842543566
|
2020-10-07
|
BLUESTEM DENTAL, PLLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3208424191
|
Plan sponsor’s
address |
33494 290TH AVENUE, BENSON, MN, 56215
|
Signature of
Role |
Plan administrator |
Date |
2020-09-30 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-30 |
Name of individual signing |
NANCY HILLEREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|