|
FRIENDLY DENTAL, P.C. 401K PROFIT SHARING PLAN
|
2014
|
421474639
|
2015-11-18
|
FRIENDLY DENTAL, P.C.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5073765525
|
| Plan sponsor’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646
|
Signature of
| Role |
Plan administrator |
| Date |
2015-11-18 |
| Name of individual signing |
JERRY JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRIENDLY DENTAL, P.C. 401K PROFIT SHARING PLAN
|
2014
|
421474639
|
2015-07-24
|
FRIENDLY DENTAL, P.C.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5073765525
|
| Plan sponsor’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-24 |
| Name of individual signing |
JERRY JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRIENDLY DENTAL, P.C. 401K PROFIT SHARING PLAN
|
2013
|
421474639
|
2014-05-20
|
FRIENDLY DENTAL, P.C.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5073765525
|
| Plan sponsor’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646
|
Signature of
| Role |
Plan administrator |
| Date |
2014-05-20 |
| Name of individual signing |
JERRY JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRIENDLY DENTAL, P.C. 401K PROFIT SHARING PLAN
|
2012
|
421474639
|
2013-04-16
|
FRIENDLY DENTAL, P.C.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5073765525
|
| Plan sponsor’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646
|
Plan administrator’s name and address
| Administrator’s EIN |
421474639 |
| Plan administrator’s name |
FRIENDLY DENTAL, P.C. |
| Plan administrator’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646 |
| Administrator’s telephone number |
5073765525 |
Signature of
| Role |
Plan administrator |
| Date |
2013-04-16 |
| Name of individual signing |
JERRY JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRIENDLY DENTAL, P.C. 401K PROFIT SHARING PLAN
|
2011
|
421474639
|
2012-05-29
|
FRIENDLY DENTAL, P.C.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Plan sponsor’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646
|
Plan administrator’s name and address
| Administrator’s EIN |
421474639 |
| Plan administrator’s name |
FRIENDLY DENTAL, P.C. |
| Plan administrator’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646 |
| Administrator’s telephone number |
5073765525 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-29 |
| Name of individual signing |
JERRY JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRIENDLY DENTAL, P.C. 401K PROFIT SHARING PLAN
|
2010
|
421474639
|
2011-07-25
|
FRIENDLY DENTAL, P.C.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5073765525
|
| Plan sponsor’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646
|
Plan administrator’s name and address
| Administrator’s EIN |
421474639 |
| Plan administrator’s name |
FRIENDLY DENTAL, P.C. |
| Plan administrator’s
address |
PO BOX 727, WORTHINGTON, MN, 561871646 |
| Administrator’s telephone number |
5073765525 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-25 |
| Name of individual signing |
JERRY JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
