NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2023
|
410977952
|
2024-06-12
|
NORTHERN EYE CENTER, P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2024-06-12 |
Name of individual signing |
AMY HERBOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2022
|
410977952
|
2023-07-18
|
NORTHERN EYE CENTER, P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2023-07-18 |
Name of individual signing |
AMY HERBOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2021
|
410977952
|
2022-10-14
|
NORTHERN EYE CENTER, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
AMY HERBOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2020
|
410977952
|
2021-10-07
|
NORTHERN EYE CENTER, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2021-10-07 |
Name of individual signing |
AMY HERBOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2019
|
410977952
|
2020-08-11
|
NORTHERN EYE CENTER, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2020-08-11 |
Name of individual signing |
AMY HERBOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2018
|
410977952
|
2019-06-17
|
NORTHERN EYE CENTER, P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2019-06-17 |
Name of individual signing |
AMY HERBOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2017
|
410977952
|
2018-07-23
|
NORTHERN EYE CENTER, P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
AMY HERBOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2016
|
410977952
|
2017-07-28
|
NORTHERN EYE CENTER, P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
AMY HERBOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2015
|
410977952
|
2016-07-25
|
NORTHERN EYE CENTER, P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
DEB SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN
|
2014
|
410977952
|
2015-07-15
|
NORTHERN EYE CENTER, P.A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2188292020
|
Plan sponsor’s
address |
2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
DEB SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|