|
AUDIOLOGY CONCEPTS RETIREMENT PLAN AND TRUST
|
2011
|
030436101
|
2012-01-26
|
AUDIOLOGY CONCEPTS, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
9528314222
|
| Plan sponsor’s
address |
6444 XERXES AVE. S, EDINA, MN, 55423
|
Plan administrator’s name and address
| Administrator’s EIN |
030436101 |
| Plan administrator’s name |
AUDIOLOGY CONCEPTS, INC. |
| Plan administrator’s
address |
6444 XERXES AVE. S, EDINA, MN, 55423 |
| Administrator’s telephone number |
9528314222 |
Signature of
| Role |
Plan administrator |
| Date |
2012-01-26 |
| Name of individual signing |
UT SCHWARTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-01-26 |
| Name of individual signing |
THOMAS SCHWARTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUDIOLOGY CONCEPTS RETIREMENT PLAN AND TRUST
|
2010
|
030436101
|
2011-07-12
|
AUDIOLOGY CONCEPTS, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
9528314222
|
| Plan sponsor’s
address |
6444 XERXES AVE. S, EDINA, MN, 55423
|
Plan administrator’s name and address
| Administrator’s EIN |
030436101 |
| Plan administrator’s name |
AUDIOLOGY CONCEPTS, INC. |
| Plan administrator’s
address |
6444 XERXES AVE. S, EDINA, MN, 55423 |
| Administrator’s telephone number |
9528314222 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-12 |
| Name of individual signing |
UT SCHWARTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUDIOLOGY CONCEPTS RETIREMENT PLAN AND TRUST
|
2010
|
030436101
|
2011-07-01
|
AUDIOLOGY CONCEPTS, INC.
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
9528314222
|
| Plan sponsor’s
address |
6444 XERXES AVE. S, EDINA, MN, 55423
|
Plan administrator’s name and address
| Administrator’s EIN |
030436101 |
| Plan administrator’s name |
AUDIOLOGY CONCEPTS, INC. |
| Plan administrator’s
address |
6444 XERXES AVE. S, EDINA, MN, 55423 |
| Administrator’s telephone number |
9528314222 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2011-07-01 |
| Name of individual signing |
THOMAS SCHWARTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUDIOLOGY CONCEPTS RETIREMENT PLAN AND TRUST
|
2009
|
030436101
|
2010-09-14
|
AUDIOLOGY CONCEPTS, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
9528314222
|
| Plan sponsor’s
address |
7450 FRANCE AVE. S., EDINA, MN, 55435
|
Plan administrator’s name and address
| Administrator’s EIN |
030436101 |
| Plan administrator’s name |
AUDIOLOGY CONCEPTS, INC. |
| Plan administrator’s
address |
7450 FRANCE AVE. S., EDINA, MN, 55435 |
| Administrator’s telephone number |
9528314222 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-13 |
| Name of individual signing |
UT SCHWARTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
