|
WOODSIDE DENTAL GROUP 401(K) PLAN
|
2023
|
841795336
|
2024-07-29
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Sponsor |
DEREK GREEN DMD LLC
|
| Business code |
621210
|
| Sponsor’s telephone number |
9073331211
|
| Plan sponsor’s
address |
4361 BONIFACE PKWY, ANCHORAGE, AK, 99504
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-29 |
| Name of individual signing |
DEREK GREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODSIDE DENTAL GROUP 401(K) PLAN
|
2022
|
841795336
|
2023-07-18
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Sponsor |
DEREK GREEN DMD LLC
|
| Business code |
621210
|
| Plan sponsor’s
address |
4361 BONIFACE PKWY, ANCHORAGE, AK, 99504
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-18 |
| Name of individual signing |
DEREK GREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODSIDE DENTAL GROUP 401(K) PLAN
|
2021
|
841795336
|
2022-06-15
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Sponsor |
DEREK GREEN DMD LLC
|
| Business code |
621210
|
| Sponsor’s telephone number |
9073331211
|
| Plan sponsor’s
address |
4361 BONIFACE PKWY, ANCHORAGE, AK, 99504
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-15 |
| Name of individual signing |
DEREK GREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
