|
BURLEY KIDS DENTAL LLC 401(K) PLAN
|
2023
|
813480157
|
2024-08-23
|
BURLEY KIDS DENTAL LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2087347415
|
| Plan sponsor’s
address |
P.O. BOX 6075, TWIN FALLS, ID, 833036075
|
Signature of
| Role |
Plan administrator |
| Date |
2024-08-23 |
| Name of individual signing |
TRENT PRYOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BURLEY KIDS DENTAL LLC 401(K) PLAN
|
2022
|
813480157
|
2023-10-04
|
BURLEY KIDS DENTAL LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2087347415
|
| Plan sponsor’s
address |
1411 FALLS AVENUE, STE 1000C, TWIN FALLS, ID, 83301
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-04 |
| Name of individual signing |
TRENT PRYOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BURLEY KIDS DENTAL LLC 401(K) PLAN
|
2021
|
813480157
|
2022-10-12
|
BURLEY KIDS DENTAL LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2087347415
|
| Plan sponsor’s
address |
1411 FALLS AVENUE, STE 1000C, TWIN FALLS, ID, 83301
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-12 |
| Name of individual signing |
TRENT PRYOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
