|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2023
|
411828542
|
2024-05-31
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
PO BOX 97, EAGLE LAKE, MN, 56024
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-31 |
| Name of individual signing |
ANDREW VOSTAD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2022
|
411828542
|
2023-07-07
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-07 |
| Name of individual signing |
ANDREW VOSTAD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2021
|
411828542
|
2022-05-04
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2020
|
411828542
|
2021-08-09
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2019
|
411828542
|
2020-04-30
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2018
|
411828542
|
2019-05-21
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2017
|
411828542
|
2018-02-20
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2016
|
411828542
|
2017-04-19
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2015
|
411828542
|
2016-05-09
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
|
|
EAGLE LAKE FAMILY DENTISTRY, 401(K) PROFIT SHARING PLAN
|
2014
|
411828542
|
2015-07-10
|
EAGLE LAKE FAMILY DENTISTRY, P.A
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5072573800
|
| Plan sponsor’s
address |
104 PLAINVIEW STREET, EAGLE LAKE, MN, 56024
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-10 |
| Name of individual signing |
SEAN VOSTAD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
