WADENA FAMILY DENTAL 401(K) PLAN
|
2023
|
260415654
|
2024-09-12
|
WADENA FAMILY DENTAL, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2024-09-12 |
Name of individual signing |
DANELLE WEIHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-12 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2022
|
260415654
|
2023-08-15
|
WADENA FAMILY DENTAL, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2023-08-15 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2021
|
260415654
|
2022-09-23
|
WADENA FAMILY DENTAL, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2022-09-23 |
Name of individual signing |
DANELLE WEIHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-23 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2020
|
260415654
|
2021-07-08
|
WADENA FAMILY DENTAL, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2021-07-08 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-08 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2019
|
260415654
|
2020-10-02
|
WADENA FAMILY DENTAL, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2020-10-02 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2018
|
260415654
|
2019-08-22
|
WADENA FAMILY DENTAL, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2019-08-22 |
Name of individual signing |
DR. WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-22 |
Name of individual signing |
DR. WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2017
|
260415654
|
2018-08-13
|
WADENA FAMILY DENTAL, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2018-08-13 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2016
|
260415654
|
2017-07-12
|
WADENA FAMILY DENTAL, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2017-06-05 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-05 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2015
|
260415654
|
2016-07-08
|
WADENA FAMILY DENTAL, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2016-07-08 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-08 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADENA FAMILY DENTAL 401(K) PLAN
|
2014
|
260415654
|
2015-05-19
|
WADENA FAMILY DENTAL, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314525
|
Plan sponsor’s
address |
122 COLFAX AVENUE NW, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2015-05-19 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-19 |
Name of individual signing |
WILLIAM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|