WOODLAND DENTAL, INC. 401(K) PLAN
|
2020
|
412017289
|
2021-04-06
|
WOODLAND DENTAL, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314431
|
Plan sponsor’s
address |
206 1ST STREET SE, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2021-04-06 |
Name of individual signing |
RYAN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-06 |
Name of individual signing |
RYAN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODLAND DENTAL, INC. 401(K) PLAN
|
2020
|
412017289
|
2021-07-07
|
WOODLAND DENTAL, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314431
|
Plan sponsor’s
address |
206 1ST STREET SE, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2021-07-07 |
Name of individual signing |
RYAN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-07 |
Name of individual signing |
RYAN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODLAND DENTAL, INC. 401(K) PLAN
|
2019
|
412017289
|
2020-10-07
|
WOODLAND DENTAL, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314431
|
Plan sponsor’s
address |
206 1ST STREET SE, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2020-10-07 |
Name of individual signing |
RYAN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-07 |
Name of individual signing |
RYAN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODLAND DENTAL, INC. 401(K) PLAN
|
2018
|
412017289
|
2019-07-30
|
WOODLAND DENTAL, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2186314431
|
Plan sponsor’s
address |
206 - 1ST STREET SE, WADENA, MN, 56482
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
RYAN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|