|
RETIREMENT INCOME SECURITY PLAN-IVORY DENTAL, PLLC
|
2023
|
830706204
|
2024-08-02
|
IVORY DENTAL, PLLC
|
18
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5094475960
|
| Plan sponsor’s
address |
1323 HWY 2, SUITE 301, SANDPOINT, ID, 83864
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2024-08-02 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RETIREMENT INCOME SECURITY PLAN-IVORY DENTAL, PLLC
|
2023
|
830706204
|
2024-08-20
|
IVORY DENTAL, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5094475960
|
| Plan sponsor’s
address |
1323 HWY 2, SUITE 301, SANDPOINT, ID, 83864
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2024-08-20 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RETIREMENT INCOME SECURITY PLAN-IVORY DENTAL, PLLC
|
2022
|
830706204
|
2023-07-24
|
IVORY DENTAL, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5094475960
|
| Plan sponsor’s
address |
1323 HWY 2, SUITE 301, SANDPOINT, ID, 83864
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-24 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RETIREMENT INCOME SECURITY PLAN-IVORY DENTAL, PLLC
|
2021
|
830706204
|
2022-07-26
|
IVORY DENTAL, PLLC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5094475960
|
| Plan sponsor’s
address |
1323 HWY 2, SUITE 301, SANDPOINT, ID, 83864
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-26 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RETIREMENT INCOME SECURITY PLAN-IVORY DENTAL, PLLC
|
2020
|
830706204
|
2021-07-22
|
IVORY DENTAL, PLLC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5094475960
|
| Plan sponsor’s
address |
1323 HWY 2, SUITE 301, SANDPOINT, ID, 83864
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-22 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RETIREMENT INCOME SECURITY PLAN-IVORY DENTAL, PLLC
|
2019
|
830706204
|
2020-07-24
|
IVORY DENTAL, PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5094475960
|
| Plan sponsor’s
address |
1323 HWY 2, SUITE 301, SANDPOINT, ID, 83864
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-24 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
