NORTH COUNTRY DENTAL RETIREMENT PLAN
|
2022
|
411425611
|
2023-06-12
|
NORTH COUNTRY DENTAL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187511111
|
Plan sponsor’s
address |
1311 BEMIDJI AVE., BEMIDJI, MN, 566191310
|
Signature of
Role |
Plan administrator |
Date |
2023-06-12 |
Name of individual signing |
CINDY LUETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL RETIREMENT PLAN
|
2021
|
411425611
|
2022-09-16
|
NORTH COUNTRY DENTAL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187511111
|
Plan sponsor’s
address |
PO BOX 1310, BEMIDJI, MN, 566191310
|
Signature of
Role |
Plan administrator |
Date |
2022-09-16 |
Name of individual signing |
CINDY LUETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL RETIREMENT PLAN
|
2020
|
411425611
|
2021-06-30
|
NORTH COUNTRY DENTAL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187511111
|
Plan sponsor’s
address |
PO BOX 1310, BEMIDJI, MN, 566191310
|
Signature of
Role |
Plan administrator |
Date |
2021-06-30 |
Name of individual signing |
CINDY LUETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
832740829
|
2021-09-16
|
NORTH COUNTRY DENTAL, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2188795271
|
Plan sponsor’s
address |
716 14TH STREET, CLOQUET, MN, 55720
|
Signature of
Role |
Plan administrator |
Date |
2021-09-16 |
Name of individual signing |
PAUL BARTLAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
832740829
|
2021-09-28
|
NORTH COUNTRY DENTAL, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2188795271
|
Plan sponsor’s
address |
716 14TH STREET, CLOQUET, MN, 55720
|
Signature of
Role |
Plan administrator |
Date |
2021-09-28 |
Name of individual signing |
PAUL BARTLAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL RETIREMENT PLAN
|
2019
|
411425611
|
2020-07-08
|
NORTH COUNTRY DENTAL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187511111
|
Plan sponsor’s
address |
PO BOX 1310, BEMIDJI, MN, 566191310
|
Signature of
Role |
Plan administrator |
Date |
2020-07-08 |
Name of individual signing |
CINDY LUETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL RETIREMENT PLAN
|
2018
|
411425611
|
2019-09-24
|
NORTH COUNTRY DENTAL
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187511111
|
Plan sponsor’s
address |
PO BOX 1310, BEMIDJI, MN, 566191310
|
Signature of
Role |
Plan administrator |
Date |
2019-09-24 |
Name of individual signing |
CINDY LUETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL RETIREMENT PLAN
|
2017
|
411425611
|
2018-07-16
|
NORTH COUNTRY DENTAL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187511111
|
Plan sponsor’s
address |
PO BOX 1310, BEMIDJI, MN, 566191310
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
CINDY LUETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL RETIREMENT PLAN
|
2016
|
411425611
|
2017-06-23
|
NORTH COUNTRY DENTAL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187511111
|
Plan sponsor’s
address |
PO BOX 1310, BEMIDJI, MN, 566191310
|
Signature of
Role |
Plan administrator |
Date |
2017-06-23 |
Name of individual signing |
CINDY LUETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COUNTRY DENTAL RETIREMENT PLAN
|
2015
|
411425611
|
2016-07-19
|
NORTH COUNTRY DENTAL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187511111
|
Plan sponsor’s
address |
PO BOX 1310, BEMIDJI, MN, 566191310
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
CINDY LUETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|