|
VALLEY RIDGE DENTAL ARTS LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
814150951
|
2024-06-27
|
VALLEY RIDGE DENTAL ARTS LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6514390322
|
| Plan sponsor’s
address |
12425 55TH STREET N SUITE B, LAKE ELMO, MN, 55042
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-27 |
| Name of individual signing |
KATIE DANIELS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY RIDGE DENTAL ARTS LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
814150951
|
2023-08-03
|
VALLEY RIDGE DENTAL ARTS LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6514390322
|
| Plan sponsor’s
address |
12425 55TH ST N SUITE B, LAKE ELMO, MN, 55042
|
Signature of
| Role |
Plan administrator |
| Date |
2023-08-03 |
| Name of individual signing |
KATIE DANIELS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY RIDGE DENTAL ARTS LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
814150951
|
2022-06-09
|
VALLEY RIDGE DENTAL ARTS LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6512319883
|
| Plan sponsor’s
address |
12425 55TH ST N, LAKE ELMO, MN, 55042
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-09 |
| Name of individual signing |
KATIE DANIELS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY RIDGE DENTAL ARTS LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
814150951
|
2021-07-15
|
VALLEY RIDGE DENTAL ARTS LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6512319883
|
| Plan sponsor’s
address |
12425 55TH ST N, LAKE ELMO, MN, 55042
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-15 |
| Name of individual signing |
KATIE DANIELS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY RIDGE DENTAL ARTS LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
814150951
|
2020-07-08
|
VALLEY RIDGE DENTAL ARTS LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6512319883
|
| Plan sponsor’s
address |
12425 55TH ST N, LAKE ELMO, MN, 55042
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-08 |
| Name of individual signing |
KATIE DANIELS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY RIDGE DENTAL ARTS LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
814150951
|
2019-05-29
|
VALLEY RIDGE DENTAL ARTS LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6512319883
|
| Plan sponsor’s
address |
12425 55TH ST N, LAKE ELMO, MN, 55042
|
Signature of
| Role |
Plan administrator |
| Date |
2019-05-29 |
| Name of individual signing |
KATIE DANIELS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY RIDGE DENTAL ARTS LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
814150951
|
2018-07-02
|
VALLEY RIDGE DENTAL ARTS LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6512319883
|
| Plan sponsor’s
address |
12425 55TH ST N, LAKE ELMO, MN, 55042
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-02 |
| Name of individual signing |
KATIE DANIELS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
