KENWOOD DENTAL 401(K) PROFIT SHARING PLAN
|
2023
|
463561186
|
2024-07-11
|
KENWOOD DENTAL, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE., DULUTH, MN, 558112222
|
Plan administrator’s name and address
Administrator’s EIN |
823719843 |
Plan administrator’s name |
FUTUREPLAN FIDUCIARY SERVICES,LLC |
Plan administrator’s
address |
P.O. BOX 55757, BOSTON, MA, 02205 |
Administrator’s telephone number |
8557115283 |
Signature of
Role |
Plan administrator |
Date |
2024-07-11 |
Name of individual signing |
ERIC QUELLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL, INC. CASH BALANCE PENSION PLAN
|
2023
|
463561186
|
2024-09-06
|
KENWOOD DENTAL, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE, DULUTH, MN, 55811
|
Signature of
Role |
Plan administrator |
Date |
2024-09-06 |
Name of individual signing |
KYLE KOLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL, INC. CASH BALANCE PENSION PLAN
|
2022
|
463561186
|
2023-10-05
|
KENWOOD DENTAL, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE, DULUTH, MN, 55811
|
Signature of
Role |
Plan administrator |
Date |
2023-10-05 |
Name of individual signing |
KYLE KOLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL 401(K) PROFIT SHARING PLAN
|
2022
|
463561186
|
2023-06-28
|
KENWOOD DENTAL
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE., DULUTH, MN, 558112222
|
Plan administrator’s name and address
Administrator’s EIN |
823719843 |
Plan administrator’s name |
FUTUREPLAN FIDUCIARY SERVICES,LLC |
Plan administrator’s
address |
P.O. BOX 55757, BOSTON, MA, 02205 |
Administrator’s telephone number |
8557115283 |
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
TIFFANY CHENARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL 401(K) PROFIT SHARING PLAN
|
2021
|
463561186
|
2022-10-13
|
KENWOOD DENTAL
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE, DULUTH, MN, 558112222
|
Plan administrator’s name and address
Administrator’s EIN |
823719843 |
Plan administrator’s name |
FUTUREPLAN FIDUCIARY SERVICES |
Plan administrator’s
address |
P.O. BOX 55757, BOSTON, MA, 02205 |
Administrator’s telephone number |
8557115283 |
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
ERIC QUELLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL, INC. CASH BALANCE PENSION PLAN
|
2021
|
463561186
|
2022-10-17
|
KENWOOD DENTAL, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE, DULUTH, MN, 55811
|
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
KYLE KOLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL 401(K) PROFIT SHARING PLAN
|
2020
|
463561186
|
2021-04-20
|
KENWOOD DENTAL
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE, DULUTH, MN, 558112222
|
Plan administrator’s name and address
Administrator’s EIN |
463340706 |
Plan administrator’s name |
GOLDLEAF PARTNERS FIDUCIARY SERVICES |
Plan administrator’s
address |
8009 34TH AVENUE SOUTH, SUITE 320, MINNEAPOLIS, MN, 55425 |
Administrator’s telephone number |
8668828442 |
Signature of
Role |
Plan administrator |
Date |
2021-04-20 |
Name of individual signing |
ERIC QUELLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL 401(K) PROFIT SHARING PLAN
|
2019
|
463561186
|
2020-07-14
|
KENWOOD DENTAL
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE, DULUTH, MN, 558112222
|
Plan administrator’s name and address
Administrator’s EIN |
463340706 |
Plan administrator’s name |
GOLDLEAF PARTNERS FIDUCIARY SERVICES |
Plan administrator’s
address |
8009 34TH AVENUE SOUTH, SUITE 320, MINNEAPOLIS, MN, 55425 |
Administrator’s telephone number |
8668828442 |
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
ERIC QUELLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL 401(K) PROFIT SHARING PLAN
|
2018
|
411355926
|
2019-07-18
|
KENWOOD DENTAL
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE, DULUTH, MN, 558112222
|
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
KYLE KOLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENWOOD DENTAL 401(K) PROFIT SHARING PLAN
|
2017
|
411355926
|
2018-06-25
|
KENWOOD DENTAL
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187284288
|
Plan sponsor’s
address |
1630 KENWOOD AVE, DULUTH, MN, 558112222
|
Signature of
Role |
Plan administrator |
Date |
2018-06-25 |
Name of individual signing |
KYLE KOLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|