|
GEFFREY W. THOMPSON, DMD, P.A. DEFINED BENEFIT PLAN
|
2012
|
820367607
|
2013-05-22
|
G.W. THOMPSON, D.M.D., P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086677461
|
| Plan sponsor’s
address |
1322 KATHLEEN AVENUE, SUITE 1, COEUR D ALENE, ID, 83815
|
Plan administrator’s name and address
| Administrator’s EIN |
820367607 |
| Plan administrator’s name |
G.W. THOMPSON, D.M.D., P.A. |
| Plan administrator’s
address |
1322 KATHLEEN AVENUE, SUITE 1, COEUR D ALENE, ID, 83815 |
| Administrator’s telephone number |
2086677461 |
Signature of
| Role |
Plan administrator |
| Date |
2013-05-22 |
| Name of individual signing |
GEFFREY W. THOMPSON, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GEFFREY W. THOMPSON, DMD, P.A. DEFINED BENEFIT PLAN
|
2011
|
820367607
|
2012-08-27
|
G.W. THOMPSON, D.M.D., P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086677461
|
| Plan sponsor’s
address |
1322 KATHLEEN AVENUE, SUITE 1, COEUR D ALENE, ID, 83815
|
Plan administrator’s name and address
| Administrator’s EIN |
820367607 |
| Plan administrator’s name |
G.W. THOMPSON, D.M.D., P.A. |
| Plan administrator’s
address |
1322 KATHLEEN AVENUE, SUITE 1, COEUR D ALENE, ID, 83815 |
| Administrator’s telephone number |
2086677461 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-27 |
| Name of individual signing |
GEFFREY W. THOMPSON, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GEFFREY W. THOMPSON, DMD, P.A. DEFINED BENEFIT PLAN
|
2010
|
820367607
|
2011-09-22
|
G.W. THOMPSON, D.M.D., P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086677461
|
| Plan sponsor’s
address |
1322 KATHLEEN AVENUE, SUITE 1, COEUR D ALENE, ID, 83815
|
Plan administrator’s name and address
| Administrator’s EIN |
820367607 |
| Plan administrator’s name |
G.W. THOMPSON, D.M.D., P.A. |
| Plan administrator’s
address |
1322 KATHLEEN AVENUE, SUITE 1, COEUR D ALENE, ID, 83815 |
| Administrator’s telephone number |
2086677461 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-22 |
| Name of individual signing |
GEFFREY W. THOMPSON, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-09-22 |
| Name of individual signing |
GEFFREY W. THOMPSON, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GEFFREY W. THOMPSON, DMD, P.A. DEFINED BENEFIT PLAN
|
2009
|
820367607
|
2010-10-01
|
G.W. THOMPSON, D.M.D., P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086677461
|
| Plan sponsor’s
address |
1322 KATHLEEN AVENUE, SUITE 1, COEUR D ALENE, ID, 83815
|
Plan administrator’s name and address
| Administrator’s EIN |
820367607 |
| Plan administrator’s name |
G.W. THOMPSON, D.M.D., P.A. |
| Plan administrator’s
address |
1322 KATHLEEN AVENUE, SUITE 1, COEUR D ALENE, ID, 83815 |
| Administrator’s telephone number |
2086677461 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-01 |
| Name of individual signing |
GEFFREY W. THOMPSON, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-01 |
| Name of individual signing |
GEFFREY W. THOMPSON, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
