|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN
|
2023
|
383839505
|
2024-07-24
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086345255
|
| Plan sponsor’s
address |
307 E. PARK ST., SUITE 203, MCCALL, ID, 83638
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-24 |
| Name of individual signing |
DR. SHANE L. NEWTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN
|
2022
|
383839505
|
2023-07-26
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086345255
|
| Plan sponsor’s
address |
307 E. PARK ST., SUITE 203, MCCALL, ID, 83638
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-26 |
| Name of individual signing |
DR. SHANE L. NEWTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN
|
2021
|
383839505
|
2022-09-26
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086345255
|
| Plan sponsor’s
address |
307 E. PARK ST., SUITE 203, MCCALL, ID, 83638
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-26 |
| Name of individual signing |
DR. SHANE L. NEWTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN
|
2020
|
383839505
|
2021-10-15
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086345255
|
| Plan sponsor’s
address |
307 E. PARK ST., SUITE 203, MCCALL, ID, 83638
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-15 |
| Name of individual signing |
DR. SHANE L. NEWTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN
|
2019
|
383839505
|
2020-10-15
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086345255
|
| Plan sponsor’s
address |
307 E. PARK ST., SUITE 203, MCCALL, ID, 83638
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-15 |
| Name of individual signing |
DR. SHANE L. NEWTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN
|
2018
|
383839505
|
2019-03-19
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086345255
|
| Plan sponsor’s
address |
307 E. PARK ST., SUITE 203, MCCALL, ID, 83638
|
Signature of
| Role |
Plan administrator |
| Date |
2019-03-19 |
| Name of individual signing |
DR. SHANE L. NEWTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN
|
2017
|
383839505
|
2018-04-14
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086345255
|
| Plan sponsor’s
address |
307 E. PARK ST., SUITE 203, MCCALL, ID, 83638
|
Signature of
| Role |
Plan administrator |
| Date |
2018-04-14 |
| Name of individual signing |
DR. SHANE L. NEWTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN
|
2016
|
383839505
|
2017-07-25
|
TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2086345255
|
| Plan sponsor’s
address |
307 E. PARK ST., SUITE 203, MCCALL, ID, 83638
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-25 |
| Name of individual signing |
DR. SHANE L. NEWTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
