|
RIVERSTONE DENTAL 401(K) PLAN
|
2023
|
460815208
|
2024-07-11
|
RIVERSTONE DENTAL CARE, PLLC
|
85
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086768500
|
| Plan sponsor’s
address |
2344 MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-11 |
| Name of individual signing |
JOHN PULSIPHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RIVERSTONE DENTAL 401(K) PLAN
|
2022
|
460815208
|
2023-04-11
|
RIVERSTONE DENTAL CARE, PLLC
|
66
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086768500
|
| Plan sponsor’s
address |
2344 MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-11 |
| Name of individual signing |
JOHN PULSIPHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RIVERSTONE DENTAL 401(K) PLAN
|
2021
|
460815208
|
2022-04-13
|
RIVERSTONE DENTAL CARE, PLLC
|
72
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086768500
|
| Plan sponsor’s
address |
2344 MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2022-04-13 |
| Name of individual signing |
JOHN PULSIPHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RIVERSTONE DENTAL 401(K) PLAN
|
2020
|
460815208
|
2021-06-11
|
RIVERSTONE DENTAL CARE, PLLC
|
70
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086768500
|
| Plan sponsor’s
address |
2344 MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-11 |
| Name of individual signing |
JOHN PULSIPHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RIVERSTONE DENTAL 401(K) PLAN
|
2019
|
460815208
|
2020-06-17
|
RIVERSTONE DENTAL CARE, PLLC
|
57
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086768500
|
| Plan sponsor’s
address |
2344 MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-17 |
| Name of individual signing |
JOHN PULSIPHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RIVERSTONE DENTAL 401(K) PLAN
|
2018
|
460815208
|
2019-09-20
|
RIVERSTONE DENTAL CARE, PLLC
|
43
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086768500
|
| Plan sponsor’s
address |
2344 MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2019-09-20 |
| Name of individual signing |
JOHN PULSIPHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RIVERSTONE DENTAL 401(K) PLAN
|
2017
|
460815208
|
2018-06-15
|
RIVERSTONE DENTAL CARE, PLLC
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086768500
|
| Plan sponsor’s
address |
2344 MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-15 |
| Name of individual signing |
JOHN PULSIPHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
