|
APPLETON DENTAL 401(K) PLAN
|
2023
|
203806884
|
2024-06-17
|
APPLETON DENTAL
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9702429207
|
| Plan sponsor’s
address |
2478 PATTERSON RD., SUITE 24, GRAND JUNCTION, CO, 81505
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-17 |
| Name of individual signing |
CASPER MAURER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
APPLETON DENTAL 401(K) PLAN
|
2022
|
203806884
|
2023-06-23
|
APPLETON DENTAL
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9702429207
|
| Plan sponsor’s
address |
2478 PATTERSON RD., SUITE 24, GRAND JUNCTION, CO, 81505
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-23 |
| Name of individual signing |
CASPER MAURER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
APPLETON DENTAL 401(K) PLAN
|
2021
|
203806884
|
2022-06-23
|
APPLETON DENTAL
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9702429207
|
| Plan sponsor’s
address |
2478 PATTERSON RD., SUITE 24, GRAND JUNCTION, CO, 81505
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-23 |
| Name of individual signing |
CASPER MAURER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
APPLETON DENTAL 401(K) PLAN
|
2020
|
203806884
|
2021-07-20
|
APPLETON DENTAL
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9702429207
|
| Plan sponsor’s
address |
2478 PATTERSON RD., SUITE 24, GRAND JUNCTION, CO, 81505
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-20 |
| Name of individual signing |
CASPER MAURER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
APPLETON DENTAL 401(K) PLAN
|
2019
|
203806884
|
2020-07-08
|
APPLETON DENTAL
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9702429407
|
| Plan sponsor’s
address |
2478 PATTERSON ROAD, SUITE 24, GRAND JUNCTION, CO, 81505
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-08 |
| Name of individual signing |
CASPER MAURER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
