|
DR. RICHARD G. BATTAGLIA RETIREMENT PLAN
|
2012
|
411929943
|
2013-07-17
|
THOMAS W. ANDERSON, D.D.S., P.A.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7637573120
|
| Plan sponsor’s
address |
11237 FOLEY BLVD, COON RAPIDS, MN, 55448
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-17 |
| Name of individual signing |
RICHARD G. BATTAGLIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DR. RICHARD G. BATTAGLIA RETIREMENT PLAN
|
2011
|
411929943
|
2012-06-15
|
THOMAS W. ANDERSON, D.D.S., P.A.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7637573120
|
| Plan sponsor’s
address |
11237 FOLEY BLVD, COON RAPIDS, MN, 55448
|
Plan administrator’s name and address
| Administrator’s EIN |
411929943 |
| Plan administrator’s name |
THOMAS W. ANDERSON, D.D.S., P.A. |
| Plan administrator’s
address |
11237 FOLEY BLVD, COON RAPIDS, MN, 55448 |
| Administrator’s telephone number |
7637573120 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-15 |
| Name of individual signing |
RICHARD G. BATTAGLIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DR. RICHARD G. BATTAGLIA RETIREMENT PLAN
|
2010
|
411929943
|
2011-06-16
|
THOMAS W. ANDERSON, D.D.S., P.A.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7637573120
|
| Plan sponsor’s
address |
11237 FOLEY BLVD, COON RAPIDS, MN, 55448
|
Plan administrator’s name and address
| Administrator’s EIN |
411929943 |
| Plan administrator’s name |
THOMAS W. ANDERSON, D.D.S., P.A. |
| Plan administrator’s
address |
11237 FOLEY BLVD, COON RAPIDS, MN, 55448 |
| Administrator’s telephone number |
7637573120 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-16 |
| Name of individual signing |
RICHARD G. BATTAGLIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-06-16 |
| Name of individual signing |
RICHARD G. BATTAGLIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THOMAS W. ANDERSON, D.D.S., P.A. EMPLOYEE SAVINGS PLAN
|
2009
|
411929943
|
2010-07-22
|
THOMAS W. ANDERSON, D.D.S., P.A.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7637573120
|
| Plan sponsor’s
address |
11237 FOLEY BLVD, COON RAPIDS, MN, 55448
|
Plan administrator’s name and address
| Administrator’s EIN |
411929943 |
| Plan administrator’s name |
THOMAS W. ANDERSON, D.D.S., P.A. |
| Plan administrator’s
address |
11237 FOLEY BLVD, COON RAPIDS, MN, 55448 |
| Administrator’s telephone number |
7637573120 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-22 |
| Name of individual signing |
RICHARD G. BATTAGLIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-22 |
| Name of individual signing |
RICHARD G. BATTAGLIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
