|
KNOX FAMILY DENTAL LLC 401K PLAN
|
2023
|
831764237
|
2024-06-12
|
KNOX FAMILY DENTAL LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3093439229
|
| Plan sponsor’s
address |
264 E. CARL SANDBURG DR, GALESBURG, IL, 61401
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-12 |
| Name of individual signing |
COLLIN PETOSKEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KNOX FAMILY DENTAL LLC 401K PLAN
|
2022
|
831764237
|
2023-04-26
|
KNOX FAMILY DENTAL LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3093439229
|
| Plan sponsor’s
address |
1172 MONROE ST, GALESBURG, IL, 61401
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-26 |
| Name of individual signing |
COLLIN PETOSKEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KNOX FAMILY DENTAL LLC 401K PLAN
|
2021
|
831764237
|
2022-05-04
|
KNOX FAMILY DENTAL LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3093439229
|
| Plan sponsor’s
address |
1172 MONROE ST, GALESBURG, IL, 61401
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-04 |
| Name of individual signing |
COLLIN PETOSKEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KNOX FAMILY DENTAL LLC 401K PLAN
|
2020
|
831764237
|
2021-06-02
|
KNOX FAMILY DENTAL LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3093439229
|
| Plan sponsor’s
address |
1172 MONROE ST, GALESBURG, IL, 61401
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-02 |
| Name of individual signing |
COLLIN PETOSKEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KNOX FAMILY DENTAL LLC 401K PLAN
|
2019
|
831764237
|
2020-05-06
|
KNOX FAMILY DENTAL LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3093439229
|
| Plan sponsor’s
address |
1172 MONROE ST, GALESBURG, IL, 61401
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-06 |
| Name of individual signing |
COLLIN PETOSKEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
