|
JACK D KLURE DDS PLLC PSP
|
2014
|
204873790
|
2015-02-27
|
JACK D KLURE, DDS, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2088889399
|
| Plan sponsor’s
address |
110 E USTICK RD, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2015-02-27 |
| Name of individual signing |
JACK D KLURE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JACK D KLURE, DDS, PLLC PSP
|
2013
|
204873790
|
2014-08-10
|
JACK D KLURE, DDS, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2088889399
|
| Plan sponsor’s
address |
110 E USTICK RD, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2014-08-10 |
| Name of individual signing |
JACK D KLURE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JACK D KLURE, DDS, PLLC PSP
|
2012
|
204873790
|
2013-09-17
|
JACK D KLURE, DDS, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2088889399
|
| Plan sponsor’s
address |
110 E USTICK RD, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-17 |
| Name of individual signing |
JACK D KLURE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
