|
W. KENT OBERMANN, DDS, MS, PC 401K PLAN
|
2012
|
710920199
|
2013-08-29
|
TOOTHZONE, LLC
|
39
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9702238687
|
| Plan sponsor’s
address |
1220 OAK PARK DR, FORT COLLINS, CO, 805257302
|
Signature of
| Role |
Plan administrator |
| Date |
2013-08-29 |
| Name of individual signing |
KENT OBERMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
W. KENT OBERMANN, DDS, MS, PC 401K PLAN
|
2011
|
710920199
|
2012-08-23
|
TOOTHZONE, LLC
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9702238687
|
| Plan sponsor’s
address |
1220 OAK PARK DR, FORT COLLINS, CO, 805257302
|
Plan administrator’s name and address
| Administrator’s EIN |
710920199 |
| Plan administrator’s name |
TOOTHZONE, LLC |
| Plan administrator’s
address |
1220 OAK PARK DR, FORT COLLINS, CO, 805257302 |
| Administrator’s telephone number |
9702238687 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-23 |
| Name of individual signing |
KENT OBERMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
W. KENT OBERMANN, DDS, MS, PC 401K PLAN
|
2010
|
710920199
|
2011-07-12
|
TOOTHZONE, LLC
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9702238687
|
| Plan sponsor’s
address |
1220 OAK PARK DR, FORT COLLINS, CO, 805257302
|
Plan administrator’s name and address
| Administrator’s EIN |
710920199 |
| Plan administrator’s name |
TOOTHZONE, LLC |
| Plan administrator’s
address |
1220 OAK PARK DR, FORT COLLINS, CO, 805257302 |
| Administrator’s telephone number |
9702238687 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-12 |
| Name of individual signing |
KENT OBERMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
