|
CASIMIR DENTAL, PLLC 401(K) PLAN
|
2023
|
872290223
|
2024-05-02
|
CASIMIR DENTAL, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8168339815
|
| Plan sponsor’s
address |
1407 W 29TH ST, PUEBLO, CO, 81008
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2024-05-02 |
| Name of individual signing |
QIAN LIU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CASIMIR DENTAL, PLLC 401(K) PLAN
|
2022
|
872290223
|
2023-05-27
|
CASIMIR DENTAL, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8168339815
|
| Plan sponsor’s
address |
1407 W 29TH ST, PUEBLO, CO, 81008
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2023-05-27 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
