|
SCOTT E. HAYHURST, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
300031266
|
2024-10-14
|
SCOTT E. HAYHURST, D.M.D., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2089389768
|
| Plan sponsor’s
address |
1053 W. TWO RIVERS LANE, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-14 |
| Name of individual signing |
SCOTT E. HAYHURST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT E. HAYHURST, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
300031266
|
2023-10-03
|
SCOTT E. HAYHURST, D.M.D., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2089389768
|
| Plan sponsor’s
address |
1053 W. TWO RIVERS LANE, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-03 |
| Name of individual signing |
SCOTT E. HAYHURST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT E. HAYHURST, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
300031266
|
2022-10-12
|
SCOTT E. HAYHURST, D.M.D., P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2089389768
|
| Plan sponsor’s
address |
1053 W. TWO RIVERS LANE, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-12 |
| Name of individual signing |
SCOTT E. HAYHURST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT E. HAYHURST, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
300031266
|
2021-10-07
|
SCOTT E. HAYHURST, D.M.D., P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2089389768
|
| Plan sponsor’s
address |
1053 W. TWO RIVERS LANE, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-07 |
| Name of individual signing |
SCOTT E. HAYHURST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT E. HAYHURST, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
300031266
|
2020-10-08
|
SCOTT E. HAYHURST, D.M.D., P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2089389768
|
| Plan sponsor’s
address |
1053 W. TWO RIVERS LANE, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-08 |
| Name of individual signing |
SCOTT E. HAYHURST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT E. HAYHURST, D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
300031266
|
2019-10-13
|
SCOTT E. HAYHURST, D.M.D., P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2089389768
|
| Plan sponsor’s
address |
280 W. RIVERMONT LANE, EAGLE, ID, 83616
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-13 |
| Name of individual signing |
SCOTT E. HAYHURST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
