|
BIRD FAMILY DENTAL 401(K) PLAN
|
2023
|
823239048
|
2024-09-11
|
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2085290999
|
| Plan sponsor’s
address |
3381 MERLIN DR., IDAHO FALLS, ID, 83404
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-11 |
| Name of individual signing |
JAYSON BIRD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BIRD FAMILY DENTAL 401(K) PLAN
|
2022
|
823239048
|
2023-10-09
|
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
|
10
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2085290999
|
| Plan sponsor’s
address |
3381 MERLIN DR., IDAHO FALLS, ID, 83404
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-09 |
| Name of individual signing |
JAYSON BIRD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BIRD FAMILY DENTAL 401(K) PLAN
|
2022
|
823239048
|
2024-07-30
|
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2085290999
|
| Plan sponsor’s
address |
3381 MERLIN DR., IDAHO FALLS, ID, 83404
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-30 |
| Name of individual signing |
JAYSON BIRD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BIRD FAMILY DENTAL 401(K) PLAN
|
2021
|
823239048
|
2024-07-30
|
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2085290999
|
| Plan sponsor’s
address |
3381 MERLIN DR., IDAHO FALLS, ID, 83404
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-30 |
| Name of individual signing |
JAYSON BIRD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BIRD FAMILY DENTAL 401(K) PLAN
|
2021
|
823239048
|
2022-10-14
|
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
|
12
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2085290999
|
| Plan sponsor’s
address |
3381 MERLIN DR., IDAHO FALLS, ID, 83404
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-14 |
| Name of individual signing |
JAYSON BIRD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
