WOODDALE DENTAL GROUP, P.A. PROFIT SHARING PLAN
|
2012
|
411497691
|
2013-08-29
|
WOODDALE DENTAL GROUP, P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529293336
|
Plan sponsor’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL J. SPENCER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODDALE DENTAL GROUP, P.A. PROFIT SHARING PLAN
|
2011
|
411497691
|
2013-08-28
|
WOODDALE DENTAL GROUP, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529293336
|
Plan sponsor’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
411497691 |
Plan administrator’s name |
WOODDALE DENTAL GROUP, P.A. |
Plan administrator’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416 |
Administrator’s telephone number |
9529293336 |
Signature of
Role |
Plan administrator |
Date |
2013-08-28 |
Name of individual signing |
MICHAEL J. SPENCER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODDALE DENTAL GROUP, P.A. PROFIT SHARING PLAN
|
2011
|
411497691
|
2012-08-20
|
WOODDALE DENTAL GROUP, P.A.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529293336
|
Plan sponsor’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
411497691 |
Plan administrator’s name |
WOODDALE DENTAL GROUP, P.A. |
Plan administrator’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416 |
Administrator’s telephone number |
9529293336 |
Signature of
Role |
Plan administrator |
Date |
2012-08-20 |
Name of individual signing |
MICHAEL J. SPENCER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODDALE DENTAL GROUP, P.A. PROFIT SHARING PLAN
|
2010
|
411497691
|
2011-06-24
|
WOODDALE DENTAL GROUP, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529293336
|
Plan sponsor’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
411497691 |
Plan administrator’s name |
WOODDALE DENTAL GROUP, P.A. |
Plan administrator’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416 |
Administrator’s telephone number |
9529293336 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
MICHAEL J. SPENCER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-24 |
Name of individual signing |
MICHAEL J. SPENCER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODDALE DENTAL GROUP, P.A. PROFIT SHARING PLAN
|
2009
|
411497691
|
2010-08-04
|
WOODDALE DENTAL GROUP, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
9529293336
|
Plan sponsor’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
411497691 |
Plan administrator’s name |
WOODDALE DENTAL GROUP, P.A. |
Plan administrator’s
address |
3401 WOODDALE AVENUE SOUTH, MINNEAPOLIS, MN, 55416 |
Administrator’s telephone number |
9529293336 |
Signature of
Role |
Plan administrator |
Date |
2010-08-04 |
Name of individual signing |
MICHAEL J. SPENCER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-04 |
Name of individual signing |
MICHAEL J. SPENCER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|