|
AL M VIRGEN DMD 401 K PROFIT SHARING PLAN TRUST
|
2012
|
273724066
|
2013-05-20
|
AL M. VIRGEN DMD PA
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6514597888
|
| Plan sponsor’s
address |
7501 80TH ST S, COTTAGE GROVE, MN, 550163020
|
Signature of
| Role |
Plan administrator |
| Date |
2013-05-20 |
| Name of individual signing |
AL M. VIRGEN DMD PA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AL M VIRGEN DMD 401 K PROFIT SHARING PLAN TRUST
|
2011
|
273724066
|
2012-09-26
|
AL M. VIRGEN DMD PA
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6514597888
|
| Plan sponsor’s
address |
7501 80TH ST S, COTTAGE GROVE, MN, 550163020
|
Plan administrator’s name and address
| Administrator’s EIN |
273724066 |
| Plan administrator’s name |
AL M. VIRGEN DMD PA |
| Plan administrator’s
address |
7501 80TH ST S, COTTAGE GROVE, MN, 550163020 |
| Administrator’s telephone number |
6514597888 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-26 |
| Name of individual signing |
AL M. VIRGEN DMD PA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AL M VIRGEN DMD 401 K PROFIT SHARING PLAN TRUST
|
2010
|
273724066
|
2012-09-26
|
AL M. VIRGEN DMD PA
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6514597888
|
| Plan sponsor’s
address |
7501 80TH ST S, COTTAGE GROVE, MN, 55016
|
Plan administrator’s name and address
| Administrator’s EIN |
273724066 |
| Plan administrator’s name |
AL M. VIRGEN DMD PA |
| Plan administrator’s
address |
7501 80TH ST S, COTTAGE GROVE, MN, 55016 |
| Administrator’s telephone number |
6514597888 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-26 |
| Name of individual signing |
AL M. VIRGEN DMD PA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
