MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN
|
2012
|
930884971
|
2013-01-28
|
MARK E. SMITH, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088468847
|
Plan sponsor’s
address |
912 E BANNOCK STREET, BOISE, ID, 83712
|
Signature of
Role |
Plan administrator |
Date |
2013-01-28 |
Name of individual signing |
MARK SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN
|
2011
|
930884971
|
2012-08-27
|
MARK E. SMITH, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088468847
|
Plan sponsor’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
|
Plan administrator’s name and address
Administrator’s EIN |
930884971 |
Plan administrator’s name |
MARK E. SMITH, D.D.S., P.C. |
Plan administrator’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880 |
Administrator’s telephone number |
2088468847 |
Signature of
Role |
Plan administrator |
Date |
2012-08-27 |
Name of individual signing |
MARK SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN
|
2010
|
930884971
|
2011-08-01
|
MARK E. SMITH, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088468847
|
Plan sponsor’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
|
Plan administrator’s name and address
Administrator’s EIN |
930884971 |
Plan administrator’s name |
MARK E. SMITH, D.D.S., P.C. |
Plan administrator’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880 |
Administrator’s telephone number |
2088468847 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
MARK SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN
|
2010
|
930884971
|
2011-07-27
|
MARK E. SMITH, D.D.S., P.C.
|
5
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088468847
|
Plan sponsor’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
|
Plan administrator’s name and address
Administrator’s EIN |
930884971 |
Plan administrator’s name |
MARK E. SMITH, D.D.S., P.C. |
Plan administrator’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880 |
Administrator’s telephone number |
2088468847 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
MARK SMITH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN
|
2010
|
930884971
|
2011-07-27
|
MARK E. SMITH, D.D.S., P.C.
|
5
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088468847
|
Plan sponsor’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
|
Plan administrator’s name and address
Administrator’s EIN |
930884971 |
Plan administrator’s name |
MARK E. SMITH, D.D.S., P.C. |
Plan administrator’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880 |
Administrator’s telephone number |
2088468847 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
MARK SMITH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN
|
2010
|
930884971
|
2011-07-26
|
MARK E. SMITH, D.D.S., P.C.
|
5
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088468847
|
Plan sponsor’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
|
Plan administrator’s name and address
Administrator’s EIN |
930884971 |
Plan administrator’s name |
MARK E. SMITH, D.D.S., P.C. |
Plan administrator’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880 |
Administrator’s telephone number |
2088468847 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
MARK E. SMITH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN
|
2009
|
930884971
|
2010-11-04
|
MARK E. SMITH, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088468847
|
Plan sponsor’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
|
Plan administrator’s name and address
Administrator’s EIN |
930884971 |
Plan administrator’s name |
MARK E. SMITH, D.D.S., P.C. |
Plan administrator’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880 |
Administrator’s telephone number |
2088468847 |
Signature of
Role |
Plan administrator |
Date |
2010-11-03 |
Name of individual signing |
MARK E. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-11-03 |
Name of individual signing |
MARK E. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN
|
2009
|
930884971
|
2010-10-07
|
MARK E. SMITH, D.D.S., P.C.
|
6
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
2088468847
|
Plan sponsor’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
|
Plan administrator’s name and address
Administrator’s EIN |
930884971 |
Plan administrator’s name |
MARK E. SMITH, D.D.S., P.C. |
Plan administrator’s
address |
2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880 |
Administrator’s telephone number |
2088468847 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
MARK E. SMITH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-06 |
Name of individual signing |
MARK E. SMITH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|