SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2016
|
820531181
|
2017-10-13
|
SOUTHWAY ORTHODONTICS, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
BRET CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2016
|
820531181
|
2017-10-13
|
SOUTHWAY ORTHODONTICS, PLLC
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
BRET CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2015
|
820531181
|
2016-10-11
|
SOUTHWAY ORTHODONTICS, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
BRET CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2014
|
820531181
|
2015-10-15
|
SOUTHWAY ORTHODONTICS, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
BRET CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2013
|
820531181
|
2015-10-15
|
SOUTHWAY ORTHODONTICS, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
BRET CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2013
|
820531181
|
2014-10-16
|
SOUTHWAY ORTHODONTICS, PLLC
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Plan administrator’s name and address
Administrator’s EIN |
820531181 |
Plan administrator’s name |
SOUTHWAY ORTHODONTICS, PLLC |
Plan administrator’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501 |
Administrator’s telephone number |
2087984427 |
Signature of
Role |
Plan administrator |
Date |
2014-10-16 |
Name of individual signing |
BRET CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2012
|
820531181
|
2013-10-15
|
SOUTHWAY ORTHODONTICS, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Plan administrator’s name and address
Administrator’s EIN |
820531181 |
Plan administrator’s name |
SOUTHWAY ORTHODONTICS, PLLC |
Plan administrator’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501 |
Administrator’s telephone number |
2087984427 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
BRET CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2011
|
820531181
|
2012-10-16
|
SOUTHWAY ORTHODONTICS, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Plan administrator’s name and address
Administrator’s EIN |
820531181 |
Plan administrator’s name |
SOUTHWAY ORTHODONTICS, PLLC |
Plan administrator’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501 |
Administrator’s telephone number |
2087984427 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
BRET B. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401(K) PLAN
|
2010
|
820531181
|
2011-08-31
|
SOUTHWAY ORTHODONTICS, PLLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Plan administrator’s name and address
Administrator’s EIN |
820531181 |
Plan administrator’s name |
SOUTHWAY ORTHODONTICS, PLLC |
Plan administrator’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501 |
Administrator’s telephone number |
2087984427 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
BRET B CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWAY ORTHODONTICS 401K PLAN
|
2009
|
820531181
|
2010-07-28
|
SOUTHWAY ORTHODONTICS, PLLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2087984427
|
Plan sponsor’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
|
Plan administrator’s name and address
Administrator’s EIN |
820531181 |
Plan administrator’s name |
SOUTHWAY ORTHODONTICS, PLLC |
Plan administrator’s
address |
77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501 |
Administrator’s telephone number |
2087984427 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
BRET CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|