|
NFD 401(K) PLAN
|
2023
|
262857928
|
2024-10-25
|
NORTHLAND FAMILY DENTAL
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2182565402
|
| Plan sponsor’s
address |
2011 3RD AVE E, HIBBING, MN, 55746
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-25 |
| Name of individual signing |
DEREK GUSTAFSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NFD 401(K) PLAN
|
2022
|
262857928
|
2023-09-25
|
NORTHLAND FAMILY DENTAL
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2182565402
|
| Plan sponsor’s
address |
2011 3RD AVE E, HIBBING, MN, 55746
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-25 |
| Name of individual signing |
DEREK L. GUSTAFSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NFD 401(K) PLAN
|
2021
|
262857928
|
2022-10-11
|
NORTHLAND FAMILY DENTAL
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2182565402
|
| Plan sponsor’s
address |
2011 3RD AVE E, HIBBING, MN, 55746
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-11 |
| Name of individual signing |
DEREK L. GUSTAFSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NFD 401(K) PLAN
|
2020
|
262857928
|
2022-07-22
|
NORTHLAND FAMILY DENTAL
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2182565402
|
| Plan sponsor’s
address |
2011 3RD AVE E, HIBBING, MN, 55746
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-22 |
| Name of individual signing |
DEREK L. GUSTAFSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NFD 401(K) PLAN
|
2019
|
262857928
|
2020-10-09
|
NORTHLAND FAMILY DENTAL
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2182565402
|
| Plan sponsor’s
address |
2011 3RD AVE E, HIBBING, MN, 55746
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-09 |
| Name of individual signing |
DEREK L. GUSTAFSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
