|
KIM B. KELLER, DDS, PA 401(K) PLAN
|
2021
|
837174263
|
2022-10-03
|
PLUMTREE MANAGEMENT, LLC
|
49
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2084662456
|
| Plan sponsor’s
address |
607 2ND STREET SOUTH, NAMPA, ID, 83651
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-03 |
| Name of individual signing |
KIM KELLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIM B. KELLER, DDS, PA 401(K) PLAN
|
2020
|
837174263
|
2021-08-23
|
PLUMTREE MANAGEMENT, LLC
|
41
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2084662456
|
| Plan sponsor’s
address |
607 2ND STREET SOUTH, NAMPA, ID, 83651
|
Signature of
| Role |
Plan administrator |
| Date |
2021-08-23 |
| Name of individual signing |
KIM KELLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
