|
MINNEOTA FAMILY DENTAL, PC SAFE HARBOR 401(K) RETIREMENT PLAN
|
2020
|
455140143
|
2021-01-28
|
MINNEOTA FAMILY DENTAL, PC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5078726403
|
| Plan sponsor’s
address |
102 EAST 1ST STREET #266, MINNEOTA, MN, 56264
|
Signature of
| Role |
Plan administrator |
| Date |
2021-01-27 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-01-27 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MINNEOTA FAMILY DENTAL, PC SAFE HARBOR 401(K) RETIREMENT PLAN
|
2019
|
455140143
|
2020-05-13
|
MINNEOTA FAMILY DENTAL, PC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5078726403
|
| Plan sponsor’s
address |
102 EAST 1ST STREET #266, MINNEOTA, MN, 56264
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-13 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-05-13 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MINNEOTA FAMILY DENTAL, PC SAFE HARBOR 401(K) RETIREMENT PLAN
|
2018
|
455140143
|
2019-06-27
|
MINNEOTA FAMILY DENTAL, PC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5078726403
|
| Plan sponsor’s
address |
102 EAST 1ST STREET, SUITE 266, MINNEOTA, MN, 56264
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-27 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-06-27 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MINNEOTA FAMILY DENTAL,PC SAFE HARBOR 401K
|
2017
|
455140143
|
2018-07-25
|
MINNEOTA FAMILY DENTAL, PC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5078726403
|
| Plan sponsor’s
address |
102 EAST 1ST STREET, SUITE 266, MINNEOTA, MN, 56264
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-25 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MINNEOTA FAMILY DENTAL,PC SAFE HARBOR 401K
|
2016
|
455140143
|
2017-07-27
|
MINNEOTA FAMILY DENTAL, PC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5078726403
|
| Plan sponsor’s
address |
102 EAST 1ST STREET, SUITE 266, MINNEOTA, MN, 56264
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-27 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MINNEOTA FAMILY DENTAL,PC SAFE HARBOR 401K
|
2015
|
455140143
|
2016-07-28
|
MINNEOTA FAMILY DENTAL, PC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5078726403
|
| Plan sponsor’s
address |
102 EAST 1ST STREET, SUITE 266, MINNEOTA, MN, 56264
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-28 |
| Name of individual signing |
TRACY GROSSMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
