|
LEGACY DENTAL, P.L.L.C. 401(K) PLAN
|
2015
|
203147470
|
2016-05-05
|
LEGACY DENTAL, P.L.L.C.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2085230840
|
| Plan sponsor’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402
|
|
|
LEGACY DENTAL, P.L.L.C. 401(K) PLAN
|
2015
|
203147470
|
2016-05-05
|
LEGACY DENTAL, P.L.L.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2085230840
|
| Plan sponsor’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402
|
|
|
LEGACY DENTAL, P.L.L.C. 401(K) PLAN
|
2014
|
203147470
|
2015-02-05
|
LEGACY DENTAL, P.L.L.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2085230840
|
| Plan sponsor’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402
|
|
|
LEGACY DENTAL, P.L.L.C. 401(K) PLAN
|
2013
|
203147470
|
2014-07-23
|
LEGACY DENTAL, P.L.L.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2085230840
|
| Plan sponsor’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402
|
|
|
LEGACY DENTAL, P.L.L.C. 401(K) PLAN
|
2012
|
203147470
|
2013-02-27
|
LEGACY DENTAL, P.L.L.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2085230840
|
| Plan sponsor’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402
|
Signature of
| Role |
Plan administrator |
| Date |
2013-02-27 |
| Name of individual signing |
OLIVER THUERNAGLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-02-27 |
| Name of individual signing |
OLIVER THUERNAGLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEGACY DENTAL, P.L.L.C. 401(K) PLAN
|
2011
|
203147470
|
2012-09-05
|
LEGACY DENTAL, P.L.L.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2085230840
|
| Plan sponsor’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402
|
Plan administrator’s name and address
| Administrator’s EIN |
203147470 |
| Plan administrator’s name |
LEGACY DENTAL, P.L.L.C. |
| Plan administrator’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402 |
| Administrator’s telephone number |
2085230840 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-05 |
| Name of individual signing |
OLIVER THUERNAGLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-05 |
| Name of individual signing |
OLIVER THUERNAGLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEGACY DENTAL, P.L.L.C. 401(K) PLAN
|
2010
|
203147470
|
2011-06-30
|
LEGACY DENTAL, P.L.L.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2085230840
|
| Plan sponsor’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402
|
Plan administrator’s name and address
| Administrator’s EIN |
203147470 |
| Plan administrator’s name |
LEGACY DENTAL, P.L.L.C. |
| Plan administrator’s
address |
1685 PANCHERI DRIVE, IDAHO FALLS, ID, 83402 |
| Administrator’s telephone number |
2085230840 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-30 |
| Name of individual signing |
OLIVER THUERNAGLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-06-30 |
| Name of individual signing |
OLIVER THUERNAGLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
