WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN
|
2017
|
411721762
|
2018-07-30
|
WALNUT STREET DENTAL ASSOCIATES
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074548584
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 55987
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN
|
2016
|
411721762
|
2017-07-31
|
WALNUT STREET DENTAL ASSOCIATES
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074548584
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 55987
|
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN
|
2015
|
411721762
|
2016-07-28
|
WALNUT STREET DENTAL ASSOCIATES
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074548584
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 55987
|
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALNUT STREET DENTAL SAFE HARBOR 401K PLAN
|
2014
|
411721762
|
2015-07-14
|
WALNUT STREET DENTAL ASSOCIATES
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074548584
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 55987
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN
|
2013
|
411721762
|
2014-07-18
|
WALNUT STREET DENTAL ASSOCIATES
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074548584
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 55987
|
Signature of
Role |
Plan administrator |
Date |
2014-07-18 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN
|
2012
|
411721762
|
2013-10-01
|
WALNUT STREET DENTAL ASSOCIATES
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074545854
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 559873429
|
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-01 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN
|
2011
|
411721762
|
2012-07-26
|
WALNUT STREET DENTAL ASSOCIATES
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074545854
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 559873429
|
Plan administrator’s name and address
Administrator’s EIN |
411721762 |
Plan administrator’s name |
WALNUT STREET DENTAL ASSOCIATES |
Plan administrator’s
address |
120 WALNUT STREET, WINONA, MN, 559873429 |
Administrator’s telephone number |
5074545854 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN
|
2010
|
411721762
|
2011-07-27
|
WALNUT STREET DENTAL ASSOCIATES
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074545854
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 559873429
|
Plan administrator’s name and address
Administrator’s EIN |
411721762 |
Plan administrator’s name |
WALNUT STREET DENTAL ASSOCIATES |
Plan administrator’s
address |
120 WALNUT STREET, WINONA, MN, 559873429 |
Administrator’s telephone number |
5074545854 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-27 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN
|
2009
|
411721762
|
2010-09-13
|
WALNUT STREET DENTAL ASSOCIATES
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5074545854
|
Plan sponsor’s
address |
120 WALNUT STREET, WINONA, MN, 559873429
|
Plan administrator’s name and address
Administrator’s EIN |
411721762 |
Plan administrator’s name |
WALNUT STREET DENTAL ASSOCIATES |
Plan administrator’s
address |
120 WALNUT STREET, WINONA, MN, 559873429 |
Administrator’s telephone number |
5074545854 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-13 |
Name of individual signing |
BRADLEY J. BULLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|