VICTOR D. COOK, D.D.S., P.A. PROFIT SHARING PLAN
|
2013
|
820400926
|
2014-08-13
|
VICTOR D. COOK, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088503660
|
Plan sponsor’s
address |
12509 W. ABLE DRIVE, STAR, ID, 83669
|
Signature of
Role |
Plan administrator |
Date |
2014-08-13 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-13 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VICTOR D. COOK, D.D.S., P.A. PROFIT SHARING PLAN
|
2012
|
820400926
|
2013-12-19
|
VICTOR D. COOK, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088503660
|
Plan sponsor’s
address |
12509 W. ABLE DRIVE, STAR, ID, 83669
|
Signature of
Role |
Plan administrator |
Date |
2013-12-19 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-19 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VICTOR D. COOK, D.D.S., P.A. PROFIT SHARING PLAN
|
2011
|
820400926
|
2013-01-30
|
VICTOR D. COOK, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083225522
|
Plan sponsor’s
address |
7910 USTICK ROAD, BOISE, ID, 83704
|
Plan administrator’s name and address
Administrator’s EIN |
820400926 |
Plan administrator’s name |
VICTOR D. COOK, D.D.S., P.A. |
Plan administrator’s
address |
7910 USTICK ROAD, BOISE, ID, 83704 |
Administrator’s telephone number |
2083225522 |
Signature of
Role |
Plan administrator |
Date |
2013-01-30 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-30 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VICTOR D. COOK, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
820400926
|
2011-12-15
|
VICTOR D. COOK, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083225522
|
Plan sponsor’s
address |
7910 USTICK ROAD, BOISE, ID, 83704
|
Plan administrator’s name and address
Administrator’s EIN |
820400926 |
Plan administrator’s name |
VICTOR D. COOK, D.D.S., P.A. |
Plan administrator’s
address |
7910 USTICK ROAD, BOISE, ID, 83704 |
Administrator’s telephone number |
2083225522 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-12-15 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VICTOR D. COOK, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
820400926
|
2011-12-12
|
VICTOR D. COOK, D.D.S., P.A.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083225522
|
Plan sponsor’s
address |
7910 USTICK ROAD, BOISE, ID, 83704
|
Plan administrator’s name and address
Administrator’s EIN |
820400926 |
Plan administrator’s name |
VICTOR D. COOK, D.D.S., P.A. |
Plan administrator’s
address |
7910 USTICK ROAD, BOISE, ID, 83704 |
Administrator’s telephone number |
2083225522 |
|
VICTOR D. COOK, D.D.S., P.A. PROFIT SHARING PLAN
|
2009
|
820400926
|
2010-12-02
|
VICTOR D. COOK, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
2083225522
|
Plan sponsor’s
address |
7910 USTICK ROAD, BOISE, ID, 83704
|
Plan administrator’s name and address
Administrator’s EIN |
820400926 |
Plan administrator’s name |
VICTOR D. COOK, D.D.S., P.A. |
Plan administrator’s
address |
7910 USTICK ROAD, BOISE, ID, 83704 |
Administrator’s telephone number |
2083225522 |
Signature of
Role |
Plan administrator |
Date |
2010-12-02 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-12-02 |
Name of individual signing |
VICTOR D. COOK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|