JOHN BERGMAN, M.D., LTD. PROFIT SHARING PLAN
|
2014
|
411311591
|
2015-12-16
|
JOHN BERGMAN, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
6123394843
|
Plan sponsor’s
address |
954 NINE MILE COVE, HOPKINS, MN, 55343
|
Signature of
Role |
Plan administrator |
Date |
2015-12-16 |
Name of individual signing |
JOHN BERGMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-12-16 |
Name of individual signing |
JOHN BERGMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN BERGMAN, M.D., LTD. PROFIT SHARING PLAN
|
2013
|
411311591
|
2015-07-01
|
JOHN BERGMAN, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
6123394843
|
Plan sponsor’s
address |
1227 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN, 55402
|
Signature of
Role |
Plan administrator |
Date |
2015-07-01 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-01 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN BERGMAN, M.D., LTD. PROFIT SHARING PLAN
|
2012
|
411311591
|
2014-04-09
|
JOHN BERGMAN, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
6123394843
|
Plan sponsor’s
address |
1227 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN, 55402
|
Signature of
Role |
Plan administrator |
Date |
2014-04-09 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-09 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN BERGMAN, M.D., LTD. PROFIT SHARING PLAN
|
2011
|
411311591
|
2013-01-11
|
JOHN BERGMAN, M.D., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
6123394843
|
Plan sponsor’s
address |
1227 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN, 55402
|
Plan administrator’s name and address
Administrator’s EIN |
411311591 |
Plan administrator’s name |
JOHN BERGMAN, M.D., LTD. |
Plan administrator’s
address |
1227 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN, 55402 |
Administrator’s telephone number |
6123394843 |
Signature of
Role |
Plan administrator |
Date |
2013-01-11 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-11 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN BERGMAN, M.D., LTD. PROFIT SHARING PLAN
|
2010
|
411311591
|
2012-02-21
|
JOHN BERGMAN, M.D., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
6123394843
|
Plan sponsor’s
address |
1227 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN, 55402
|
Plan administrator’s name and address
Administrator’s EIN |
411311591 |
Plan administrator’s name |
JOHN BERGMAN, M.D., LTD. |
Plan administrator’s
address |
1227 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN, 55402 |
Administrator’s telephone number |
6123394843 |
Signature of
Role |
Plan administrator |
Date |
2012-02-21 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-21 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN BERGMAN, M.D., LTD. PROFIT SHARING PLAN
|
2009
|
411311591
|
2011-03-10
|
JOHN BERGMAN, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
6123394843
|
Plan sponsor’s
address |
1227 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN, 55402
|
Plan administrator’s name and address
Administrator’s EIN |
411311591 |
Plan administrator’s name |
JOHN BERGMAN, M.D., LTD. |
Plan administrator’s
address |
1227 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN, 55402 |
Administrator’s telephone number |
6123394843 |
Signature of
Role |
Plan administrator |
Date |
2011-03-10 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-10 |
Name of individual signing |
JOHN BERGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|