ST. PAUL PLASTIC SURGERY, LTD PENSION TRUST
|
2019
|
411933279
|
2021-08-05
|
ST. PAUL PLASTIC SURGERY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 NORTH DUNLAP ST, SUITE 870, ST. PAUL, MN, 55104
|
Signature of
Role |
Plan administrator |
Date |
2021-08-05 |
Name of individual signing |
JOSEPH SKOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-05 |
Name of individual signing |
JOSEPH SKOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD PENSION TRUST
|
2018
|
411933279
|
2020-08-12
|
ST. PAUL PLASTIC SURGERY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST, SUITE 870, ST. PAUL, MN, 55104
|
Signature of
Role |
Plan administrator |
Date |
2020-08-12 |
Name of individual signing |
JOE SKOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD PENSION TRUST
|
2017
|
411933279
|
2019-08-15
|
ST. PAUL PLASTIC SURGERY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST, SUITE 870, ST. PAUL, MN, 55104
|
Signature of
Role |
Plan administrator |
Date |
2019-08-15 |
Name of individual signing |
JOE SKOW M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD PENSION TRUST
|
2016
|
411933279
|
2018-08-02
|
ST. PAUL PLASTIC SURGERY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST, SUITE 870, ST. PAUL, MN, 55104
|
Signature of
Role |
Plan administrator |
Date |
2018-08-02 |
Name of individual signing |
JOE SKOW, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD PENSION TRUST
|
2015
|
411933279
|
2017-07-19
|
ST. PAUL PLASTIC SURGERY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST, SUITE 870, ST. PAUL, MN, 55104
|
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
JEFFREY H. ALDRIDGE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD. PENSION TRUST
|
2014
|
411933279
|
2016-01-13
|
ST. PAUL PLASTIC SURGERY, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST SUITE 870, ST PAUL, MN, 55104
|
Signature of
Role |
Plan administrator |
Date |
2016-01-13 |
Name of individual signing |
JOSEPH SKOW, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD. PENSION TRUST
|
2013
|
411933279
|
2014-12-18
|
ST. PAUL PLASTIC SURGERY, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST SUITE 832, ST PAUL, MN, 55104
|
Signature of
Role |
Plan administrator |
Date |
2014-12-18 |
Name of individual signing |
JOSEPH SKOW, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD. PENSION TRUST
|
2012
|
411933279
|
2014-04-02
|
ST. PAUL PLASTIC SURGERY, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST SUITE 832, ST PAUL, MN, 55104
|
Signature of
Role |
Plan administrator |
Date |
2014-04-02 |
Name of individual signing |
JOSEPH SKOW, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD. PENSION TRUST
|
2011
|
411933279
|
2013-03-14
|
ST. PAUL PLASTIC SURGERY, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST SUITE 832, ST PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411933279 |
Plan administrator’s name |
ST. PAUL PLASTIC SURGERY, LTD. |
Plan administrator’s
address |
393 N DUNLAP ST SUITE 832, ST PAUL, MN, 55104 |
Administrator’s telephone number |
6516462717 |
Signature of
Role |
Plan administrator |
Date |
2013-03-14 |
Name of individual signing |
JOSEPH SKOW, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PAUL PLASTIC SURGERY, LTD. PENSION TRUST
|
2010
|
411933279
|
2012-02-15
|
ST. PAUL PLASTIC SURGERY, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6516462717
|
Plan sponsor’s
address |
393 N DUNLAP ST SUITE 832, ST PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411933279 |
Plan administrator’s name |
ST. PAUL PLASTIC SURGERY, LTD. |
Plan administrator’s
address |
393 N DUNLAP ST SUITE 832, ST PAUL, MN, 55104 |
Administrator’s telephone number |
6516462717 |
Signature of
Role |
Plan administrator |
Date |
2012-02-15 |
Name of individual signing |
JOSEPH SKOW, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|