|
CASTLEBURY DENTAL 401(K) PSP
|
2023
|
262748617
|
2024-07-23
|
CASTLEBURY DENTAL
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
2088550080
|
| Plan sponsor’s
address |
3209 W BAVARIA ST, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-23 |
| Name of individual signing |
NICK RICE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CASTLEBURY DENTAL 401(K) PSP
|
2022
|
262748617
|
2023-07-12
|
CASTLEBURY DENTAL
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
2088550080
|
| Plan sponsor’s
address |
3209 W BAVARIA ST, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-12 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CASTLEBURY DENTAL 401(K) PSP
|
2021
|
262748617
|
2022-06-30
|
CASTLEBURY DENTAL
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
2088550080
|
| Plan sponsor’s
address |
3209 E. BAVARIA, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-30 |
| Name of individual signing |
JACOB BROWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CASTLEBURY DENTAL 401(K) PSP
|
2020
|
262748617
|
2021-04-29
|
CASTLEBURY DENTAL
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
2088550080
|
| Plan sponsor’s
address |
3209 E. BAVARIA, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2021-04-29 |
| Name of individual signing |
JACOB BROWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CASTLEBURY DENTAL 401(K) PSP
|
2019
|
262748617
|
2020-04-13
|
CASTLEBURY DENTAL
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
2088550080
|
| Plan sponsor’s
address |
3209 E. BAVARIA, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2020-04-13 |
| Name of individual signing |
JACOB BROWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
