SWAN FALLS FAMILY DENTISTRY 401(K) PLAN
|
2023
|
711036270
|
2024-09-23
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2089225111
|
Plan sponsor’s
address |
1621 N. LINDER ROAD, KUNA, ID, 83634
|
Signature of
Role |
Plan administrator |
Date |
2024-09-23 |
Name of individual signing |
ANNELIESE HAWS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SWAN FALLS FAMILY DENTISTRY 401(K) PLAN
|
2022
|
711036270
|
2023-10-05
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2089225111
|
Plan sponsor’s
address |
1621 N. LINDER ROAD, KUNA, ID, 83634
|
Signature of
Role |
Plan administrator |
Date |
2023-10-05 |
Name of individual signing |
ANNELIESE HAWS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SWAN FALLS FAMILY DENTISTRY 401(K) PLAN
|
2021
|
711036270
|
2022-10-12
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2089225111
|
Plan sponsor’s
address |
1621 N. LINDER ROAD, KUNA, ID, 83634
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
ANNELIESE HAWS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SWAN FALL DENTISTRY 401K
|
2020
|
711036270
|
2021-10-15
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083425905
|
Plan sponsor’s mailing address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Plan sponsor’s
address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Number of participants as of the end of the plan year
Active participants |
8 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
PAUL MOWER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SWAN FALL DENTISTRY 401K
|
2019
|
711036270
|
2020-10-15
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083425905
|
Plan sponsor’s mailing address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Plan sponsor’s
address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
PAUL MOWER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SWAN FALL DENTISTRY 401K
|
2018
|
711036270
|
2019-10-14
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083425905
|
Plan sponsor’s mailing address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Plan sponsor’s
address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
PAUL MOWER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SWAN FALL DENTISTRY 401K
|
2018
|
711036270
|
2019-10-24
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083425905
|
Plan sponsor’s mailing address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Plan sponsor’s
address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-24 |
Name of individual signing |
PAUL MOWER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SWAN FALL DENTISTRY 401K
|
2017
|
711036270
|
2019-10-24
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083425905
|
Plan sponsor’s mailing address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Plan sponsor’s
address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Plan administrator’s name and address
Administrator’s EIN |
711036270 |
Plan administrator’s name |
SWAN FALLS DENTISTRY PLLC |
Plan administrator’s
address |
1621 N LINDER RD, KUNA, ID, 836343032 |
Administrator’s telephone number |
2083425905 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-24 |
Name of individual signing |
PAUL MOWER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SWAN FALL DENTISTRY 401K
|
2017
|
711036270
|
2018-10-15
|
SWAN FALLS FAMILY DENTISTRY PLLC
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083425905
|
Plan sponsor’s mailing address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Plan sponsor’s
address |
1621 N LINDER RD, KUNA, ID, 836343032
|
Plan administrator’s name and address
Administrator’s EIN |
711036270 |
Plan administrator’s name |
SWAN FALLS DENTISTRY PLLC |
Plan administrator’s
address |
1621 N LINDER RD, KUNA, ID, 836343032 |
Administrator’s telephone number |
2083425905 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
PAUL MOWER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|