|
MEDICAL PAIN MANAGEMENT 401K PROFIT SHARING PLAN TRUST
|
2013
|
411354900
|
2015-10-09
|
MEDICAL PAIN MANAGEMENT LTD
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621111
|
| Plan sponsor’s
address |
1660 HIGHWAY 100 SOUTH, 229, SAINT LOUIS PARK, MN, 55416
|
Signature of
| Role |
Employer/plan sponsor |
| Date |
2015-10-09 |
| Name of individual signing |
ALFRED ANDERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDICAL PAIN MANAGEMENT 401 K PROFIT SHARING PLAN TRUST
|
2012
|
411354900
|
2013-07-30
|
MEDICAL PAIN MANAGEMENT LTD
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9528359777
|
| Plan sponsor’s
address |
5775 WAYZATA BLVD STE 600, MINNEAPOLIS, MN, 554162648
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-30 |
| Name of individual signing |
MEDICAL PAIN MANAGEMENT LTD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDICAL PAIN MANAGEMENT 401 K PROFIT SHARING PLAN TRUST
|
2011
|
411354900
|
2012-08-02
|
MEDICAL PAIN MANAGEMENT LTD
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9528359777
|
| Plan sponsor’s
address |
5775 WAYZATA BLVD STE 110, MINNEAPOLIS, MN, 554162687
|
Plan administrator’s name and address
| Administrator’s EIN |
411354900 |
| Plan administrator’s name |
MEDICAL PAIN MANAGEMENT LTD |
| Plan administrator’s
address |
5775 WAYZATA BLVD STE 110, MINNEAPOLIS, MN, 554162687 |
| Administrator’s telephone number |
9528359777 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-02 |
| Name of individual signing |
MEDICAL PAIN MANAGEMENT LTD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDICAL PAIN MANAGEMENT 401 K PROFIT SHARING PLAN TRUST
|
2010
|
411354900
|
2012-08-02
|
MEDICAL PAIN MANAGEMENT LTD
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9528359777
|
| Plan sponsor’s
address |
5775 WAYZATA BLVD STE 110, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
| Administrator’s EIN |
411354900 |
| Plan administrator’s name |
MEDICAL PAIN MANAGEMENT LTD |
| Plan administrator’s
address |
5775 WAYZATA BLVD STE 110, MINNEAPOLIS, MN, 55416 |
| Administrator’s telephone number |
9528359777 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-02 |
| Name of individual signing |
MEDICAL PAIN MANAGEMENT LTD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDICAL PAIN MANAGEMENT 401 K PROFIT SHARING PLAN TRUST
|
2009
|
411354900
|
2012-08-02
|
MEDICAL PAIN MANAGEMENT LTD
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9528359777
|
| Plan sponsor’s
address |
5775 WAYZATA BLVD STE 110, MINNEAPOLIS, MN, 55416
|
Plan administrator’s name and address
| Administrator’s EIN |
411354900 |
| Plan administrator’s name |
MEDICAL PAIN MANAGEMENT LTD |
| Plan administrator’s
address |
5775 WAYZATA BLVD STE 110, MINNEAPOLIS, MN, 55416 |
| Administrator’s telephone number |
9528359777 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-02 |
| Name of individual signing |
MEDICAL PAIN MANAGEMENT LTD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
