|
NORTHWEST DENTAL CENTER PA 401K PLAN
|
2023
|
823473113
|
2024-10-08
|
NORTHWEST DENTAL GROUP LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083778078
|
| Plan sponsor’s
address |
8300 NORTHVIEW ST, BOISE, ID, 837047132
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-09 |
| Name of individual signing |
DON COOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWEST DENTAL CENTER PA 401K PLAN
|
2022
|
823473113
|
2023-10-12
|
NORTHWEST DENTAL GROUP LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083778078
|
| Plan sponsor’s
address |
8300 NORTHVIEW ST, BOISE, ID, 837047132
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-12 |
| Name of individual signing |
DON COOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWEST DENTAL CENTER PA 401K PLAN
|
2021
|
823473113
|
2022-10-04
|
NORTHWEST DENTAL GROUP LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083778078
|
| Plan sponsor’s
address |
8300 NORTHVIEW ST, BOISE, ID, 837047132
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-04 |
| Name of individual signing |
DON COOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWEST DENTAL CENTER PA 401K PLAN
|
2020
|
823473113
|
2021-10-14
|
NORTHWEST DENTAL GROUP LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083778078
|
| Plan sponsor’s
address |
8300 NORTHVIEW ST, BOISE, ID, 837047132
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-14 |
| Name of individual signing |
DON COOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWEST DENTAL CENTER PA 401K PLAN
|
2019
|
823473113
|
2020-07-21
|
NORTHWEST DENTAL GROUP LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083778078
|
| Plan sponsor’s
address |
8300 NORTHVIEW ST, BOISE, ID, 837047132
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-21 |
| Name of individual signing |
DON COOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWEST DENTAL CENTER PA 401K PLAN
|
2018
|
823473113
|
2020-07-08
|
NORTHWEST DENTAL GROUP LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083778078
|
| Plan sponsor’s
address |
8300 NORTHVIEW ST, BOISE, ID, 837047132
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-08 |
| Name of individual signing |
DON COOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
