FRANCISCO MESA DDS PA 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
800643794
|
2022-05-13
|
FRANCISCO MESA DDS PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
621210
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2022-05-13 |
Name of individual signing |
FRANCISCO MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCISCO MESA DDS PA 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
800643794
|
2022-04-06
|
FRANCISCO MESA DDS PA
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
621210
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2022-04-06 |
Name of individual signing |
FRANCISCO MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCISCO MESA DDS PA 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
800643794
|
2021-05-20
|
FRANCISCO MESA DDS PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
621210
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2021-05-20 |
Name of individual signing |
DIANA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCISCO MESA, DDS PA 401(K) PLAN
|
2019
|
800643794
|
2020-04-10
|
FRANCISCO MESA, DDS, PA
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
621210
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2020-04-10 |
Name of individual signing |
FRANCISCO MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCISCO MESA, DDS PA 401(K) PLAN
|
2018
|
800643794
|
2019-06-07
|
FRANCISCO MESA, DDS, PA
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
621210
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2019-06-07 |
Name of individual signing |
FRANCISCO MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCISCO MESA, DDS PA 401(K) PLAN
|
2017
|
800643794
|
2018-05-30
|
FRANCISCO MESA, DDS, PA
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
621210
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2018-05-30 |
Name of individual signing |
FRANCISCO MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCISCO MESA, DDS PA 401(K) PLAN
|
2016
|
800643794
|
2017-07-18
|
FRANCISCO MESA, DDS, PA
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
621210
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
FRANCISCO MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCISCO MESA, DDS PA 401(K) PLAN
|
2015
|
800643794
|
2016-07-26
|
FRANCISCO MESA, DDS, PA
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
621210
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
|
FRANCISCO MESA, DDS PA 401(K) PLAN
|
2014
|
800643794
|
2015-07-09
|
FRANCISCO MESA, DDS, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
812990
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2015-07-09 |
Name of individual signing |
FRANCISCO MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCISCO MESA, DDS PA 401(K) PLAN
|
2013
|
800643794
|
2014-05-29
|
FRANCISCO MESA, DDS, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-06-15
|
Business code |
812990
|
Sponsor’s telephone number |
9529442052
|
Plan sponsor’s
address |
7727 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2014-05-29 |
Name of individual signing |
FRANCISCO MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|