|
COTTONWOOD CREEK DENTAL 401(K) PROFIT SHARING PLAN
|
2016
|
208768548
|
2017-05-17
|
COTTONWOOD CREEK DENTAL
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083238545
|
| Plan sponsor’s
address |
325 E. SHORE DRIVE, SUITE 100, EAGLE, ID, 836166581
|
Signature of
| Role |
Plan administrator |
| Date |
2017-05-17 |
| Name of individual signing |
SADIE POURFATHI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COTTONWOOD CREEK DENTAL 401(K) PROFIT SHARING PLAN
|
2015
|
208768548
|
2016-07-28
|
COTTONWOOD CREEK DENTAL
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083238545
|
| Plan sponsor’s
address |
325 E. SHORE DRIVE, SUITE 100, EAGLE, ID, 836166581
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-28 |
| Name of individual signing |
SADIE POURFATHI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COTTONWOOD CREEK DENTAL 401(K) PROFIT SHARING PLAN
|
2014
|
208768548
|
2015-07-30
|
COTTONWOOD CREEK DENTAL
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083238545
|
| Plan sponsor’s
address |
90 W. COTTONWOOD COURT, SUITE 100, EAGLE, ID, 836166577
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-30 |
| Name of individual signing |
SADIE POURFATHI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
