ALASKA SMILES 401(K) PLAN
|
2017
|
841674463
|
2018-10-09
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
ALISON NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-09 |
Name of individual signing |
ALISON NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALASKA SMILES 401(K) PLAN
|
2016
|
841674463
|
2017-08-28
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Signature of
Role |
Plan administrator |
Date |
2017-08-28 |
Name of individual signing |
ALISON NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-28 |
Name of individual signing |
ALISON NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALASKA SMILES 401(K) PLAN
|
2015
|
841674463
|
2016-10-10
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Signature of
Role |
Plan administrator |
Date |
2016-10-10 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-10 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALASKA SMILES 401(K) PLAN
|
2014
|
841674463
|
2015-10-05
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-05 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALASKA SMILES 401(K) PLAN
|
2013
|
841674463
|
2014-10-01
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Signature of
Role |
Plan administrator |
Date |
2014-10-01 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-01 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALASKA SMILES 401(K) PLAN
|
2012
|
841674463
|
2013-09-13
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Signature of
Role |
Plan administrator |
Date |
2013-09-13 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-13 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALASKA SMILES 401(K) PLAN
|
2011
|
841674463
|
2012-10-10
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Plan administrator’s name and address
Administrator’s EIN |
841674463 |
Plan administrator’s name |
RONALD F. NIELSEN, DMD, PC |
Plan administrator’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029 |
Administrator’s telephone number |
9072786684 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALASKA SMILES 401(K) PLAN
|
2010
|
841674463
|
2011-10-17
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Plan administrator’s name and address
Administrator’s EIN |
841674463 |
Plan administrator’s name |
RONALD F. NIELSEN, DMD, PC |
Plan administrator’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029 |
Administrator’s telephone number |
9072786684 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
RONALD F. NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
RONALD F. NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALASKA SMILES 401(K) PLAN
|
2009
|
841674463
|
2010-10-13
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor |
RONALD F. NIELSEN, DMD, PC
|
Business code |
621210
|
Sponsor’s telephone number |
9072786684
|
Plan sponsor’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029
|
Plan administrator’s name and address
Administrator’s EIN |
841674463 |
Plan administrator’s name |
RONALD F. NIELSEN, DMD, PC |
Plan administrator’s
address |
1000 E. DIMOND BLVD., STE 210, ANCHORAGE, AK, 995152029 |
Administrator’s telephone number |
9072786684 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
RONALD NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|