|
KAI SHIN CLINIC 401K PLAN
|
2023
|
812800875
|
2024-08-07
|
SASAKI MEDICAL LLC
|
79
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621420
|
| Sponsor’s telephone number |
6514473755
|
| Plan sponsor’s
address |
777 RAYMOND AVE, ST PAUL, MN, 55114
|
Signature of
| Role |
Plan administrator |
| Date |
2024-08-07 |
| Name of individual signing |
ERICA ROY-NYLINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KAI SHIN CLINIC 401K PLAN
|
2022
|
812800875
|
2023-07-05
|
SASAKI MEDICAL LLC
|
69
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621420
|
| Sponsor’s telephone number |
6514473755
|
| Plan sponsor’s
address |
777 RAYMOND AVE, ST PAUL, MN, 55114
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-05 |
| Name of individual signing |
ALANA SASAKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KAI SHIN CLINIC 401K PLAN
|
2021
|
812800875
|
2022-06-27
|
SASAKI MEDICAL LLC
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621420
|
| Sponsor’s telephone number |
6514473755
|
| Plan sponsor’s
address |
777 RAYMOND AVE, ST PAUL, MN, 55114
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-27 |
| Name of individual signing |
KRISTIN VANYO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KAI SHIN CLINIC 401K PLAN
|
2020
|
812800875
|
2021-06-25
|
SASAKI MEDICAL LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621420
|
| Sponsor’s telephone number |
6514473755
|
| Plan sponsor’s
address |
777 RAYMOND AVE, ST PAUL, MN, 55114
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-25 |
| Name of individual signing |
DEB STACHOWSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KAI SHIN CLINIC 401K PLAN
|
2019
|
812800875
|
2020-07-11
|
SASAKI MEDICAL LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621420
|
| Sponsor’s telephone number |
6514473755
|
| Plan sponsor’s
address |
777 RAYMOND AVE, ST PAUL, MN, 55114
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-11 |
| Name of individual signing |
DEB STACHOWSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
