|
BLUE SKY DENTAL 401(K) PLAN
|
2022
|
463745488
|
2023-12-06
|
BLUE SKY DENTAL, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072585260
|
| Plan sponsor’s
address |
18 3RD ST SW, SUITE 300, ROCHESTER, MN, 55902
|
Signature of
| Role |
Plan administrator |
| Date |
2023-12-06 |
| Name of individual signing |
SONJA MAE LANGTON-YANOWITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLUE SKY DENTAL 401(K) PLAN
|
2022
|
463745488
|
2023-05-15
|
BLUE SKY DENTAL, PLLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072585260
|
| Plan sponsor’s
address |
18 3RD ST SW, SUITE 300, ROCHESTER, MN, 55902
|
Signature of
| Role |
Plan administrator |
| Date |
2023-05-15 |
| Name of individual signing |
SONJA MAE LANGTON-YANOWITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLUE SKY DENTAL 401(K) PLAN
|
2021
|
463745488
|
2022-09-16
|
BLUE SKY DENTAL, PLLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072585260
|
| Plan sponsor’s
address |
18 3RD ST SW, SUITE 300, ROCHESTER, MN, 55902
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-16 |
| Name of individual signing |
SONJA MAE LANGTON-YANOWITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLUE SKY DENTAL 401(K) PLAN
|
2020
|
463745488
|
2021-08-18
|
BLUE SKY DENTAL, PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072585260
|
| Plan sponsor’s
address |
18 3RD ST SW, SUITE 300, ROCHESTER, MN, 55902
|
Signature of
| Role |
Plan administrator |
| Date |
2021-08-18 |
| Name of individual signing |
SONJA MAE LANGTON-YANOWITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLUE SKY DENTAL 401(K) PLAN
|
2019
|
463745488
|
2020-09-18
|
BLUE SKY DENTAL, PLLC
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072585260
|
| Plan sponsor’s
address |
18 3RD ST SW, SUITE 300, ROCHESTER, MN, 55902
|
|
|
BLUE SKY DENTAL 401(K) PLAN
|
2018
|
463745488
|
2019-07-30
|
BLUE SKY DENTAL, PLLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072585260
|
| Plan sponsor’s
address |
18 3RD ST SW, SUITE 300, ROCHESTER, MN, 55902
|
|
