|
GREGORY J. SMITH, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
411947473
|
2011-10-04
|
GREGORY J. SMITH, D.D.S., P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-12-26
|
| Business code |
621210
|
| Sponsor’s telephone number |
9524695213
|
| Plan sponsor’s mailing address |
P.O. BOX 310, LAKEVILLE, MN, 55044
|
| Plan sponsor’s
address |
20785 HOLYOKE AVENUE WEST, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
| Administrator’s EIN |
411947473 |
| Plan administrator’s name |
GREGORY J. SMITH, D.D.S., P.A. |
| Plan administrator’s
address |
P.O. BOX 310, LAKEVILLE, MN, 55044 |
| Administrator’s telephone number |
9524695213 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-04 |
| Name of individual signing |
GREGORY J. SMITH, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GREGORY J. SMITH, D.D.S., P.A. PROFIT SHARING PLAN
|
2009
|
411947473
|
2010-08-31
|
GREGORY J. SMITH, D.D.S., P.A.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-12-26
|
| Business code |
621210
|
| Sponsor’s telephone number |
9524695213
|
| Plan sponsor’s mailing address |
P.O. BOX 310, LAKEVILLE, MN, 55044
|
| Plan sponsor’s
address |
20785 HOLYOKE AVENUE WEST, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
| Administrator’s EIN |
411947473 |
| Plan administrator’s name |
GREGORY J. SMITH, D.D.S., P.A. |
| Plan administrator’s
address |
P.O. BOX 310, LAKEVILLE, MN, 55044 |
| Administrator’s telephone number |
9524695213 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
6 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-31 |
| Name of individual signing |
GREGORY J. SMITH, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GREGORY J. SMITH, D.D.S., P.A. PROFIT SHARING PLAN
|
2009
|
411947473
|
2010-08-31
|
GREGORY J. SMITH, D.D.S., P.A.
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-12-26
|
| Business code |
621210
|
| Sponsor’s telephone number |
9524695213
|
| Plan sponsor’s mailing address |
P.O. BOX 310, LAKEVILLE, MN, 55044
|
| Plan sponsor’s
address |
20785 HOLYOKE AVENUE WEST, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
| Administrator’s EIN |
411947473 |
| Plan administrator’s name |
GREGORY J. SMITH, D.D.S., P.A. |
| Plan administrator’s
address |
P.O. BOX 310, LAKEVILLE, MN, 55044 |
| Administrator’s telephone number |
9524695213 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
6 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-31 |
| Name of individual signing |
GREGORY J. SMITH, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
