|
NEIL O. NORMAN, DDS, PA 401K PLAN
|
2011
|
820350652
|
2012-05-09
|
NEIL O. NORMAN, D.D.S., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2087867031
|
| Plan sponsor’s
address |
302 E. CAMERON AVENUE, KELLOGG, ID, 83837
|
Plan administrator’s name and address
| Administrator’s EIN |
820350652 |
| Plan administrator’s name |
NEIL O. NORMAN, D.D.S., P.A. |
| Plan administrator’s
address |
302 E. CAMERON AVENUE, KELLOGG, ID, 83837 |
| Administrator’s telephone number |
2087867031 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-09 |
| Name of individual signing |
NEIL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEIL O. NORMAN, DDS, PA 401K PLAN
|
2011
|
820350652
|
2012-10-16
|
NEIL O. NORMAN, D.D.S., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2087867031
|
| Plan sponsor’s
address |
302 E. CAMERON AVENUE, KELLOGG, ID, 83837
|
Plan administrator’s name and address
| Administrator’s EIN |
820350652 |
| Plan administrator’s name |
NEIL O. NORMAN, D.D.S., P.A. |
| Plan administrator’s
address |
302 E. CAMERON AVENUE, KELLOGG, ID, 83837 |
| Administrator’s telephone number |
2087867031 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-16 |
| Name of individual signing |
NEIL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEIL O. NORMAN, DDS, PA 401K PLAN
|
2010
|
820350652
|
2011-05-10
|
NEIL O. NORMAN, D.D.S., P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2087867031
|
| Plan sponsor’s
address |
302 E. CAMERON AVENUE, KELLOGG, ID, 83837
|
Plan administrator’s name and address
| Administrator’s EIN |
820350652 |
| Plan administrator’s name |
NEIL O. NORMAN, D.D.S., P.A. |
| Plan administrator’s
address |
302 E. CAMERON AVENUE, KELLOGG, ID, 83837 |
| Administrator’s telephone number |
2087867031 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-10 |
| Name of individual signing |
NEIL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-05-10 |
| Name of individual signing |
NEIL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEIL O. NORMAN, DDS, PA 401K PLAN
|
2009
|
820350652
|
2010-06-18
|
NEIL O. NORMAN, D.D.S., P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2087867031
|
| Plan sponsor’s
address |
302 E. CAMERON AVENUE, KELLOGG, ID, 83837
|
Plan administrator’s name and address
| Administrator’s EIN |
820350652 |
| Plan administrator’s name |
NEIL O. NORMAN, D.D.S., P.A. |
| Plan administrator’s
address |
302 E. CAMERON AVENUE, KELLOGG, ID, 83837 |
| Administrator’s telephone number |
2087867031 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-18 |
| Name of individual signing |
NEIL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-06-18 |
| Name of individual signing |
NEIL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
