SOUTHWEST SURGICAL CENTER, LLC
|
2020
|
412013700
|
2021-09-13
|
SOUTHWEST SURGICAL CENTER, LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 W. 78TH STREET, SUITE 220, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2021-09-13 |
Name of individual signing |
TAMI STEICHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-13 |
Name of individual signing |
TAMI STEICHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC
|
2020
|
412013700
|
2021-07-06
|
SOUTHWEST SURGICAL CENTER, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 W. 78TH STREET, SUITE 220, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2021-07-06 |
Name of individual signing |
TAMI R. STEICHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-06 |
Name of individual signing |
TAMI R. STEICHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC
|
2019
|
412013700
|
2020-07-23
|
SOUTHWEST SURGICAL CENTER, LLC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 W. 78TH STREET, SUITE 220, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-23 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC
|
2018
|
412013700
|
2019-03-26
|
SOUTHWEST SURGICAL CENTER, LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 W. 78TH STREET, SUITE 220, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2019-03-26 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-26 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC PENSION AND 401(K) PLAN
|
2017
|
412013700
|
2018-07-23
|
SOUTHWEST SURGICAL CENTER, LLC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 WEST 78TH STREET, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-23 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC PENSION AND 401(K) PLAN
|
2016
|
412013700
|
2017-06-29
|
SOUTHWEST SURGICAL CENTER, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 WEST 78TH STREET, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2017-06-29 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-29 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC PENSION AND 401(K) PLAN
|
2015
|
412013700
|
2016-10-13
|
SOUTHWEST SURGICAL CENTER, LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 WEST 78TH STREET, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-13 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC PENSION AND 401(K) PLAN
|
2014
|
412013700
|
2015-08-19
|
SOUTHWEST SURGICAL CENTER, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 WEST 78TH STREET, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2015-08-19 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-19 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC PENSION AND 401(K) PLAN
|
2013
|
412013700
|
2014-08-29
|
SOUTHWEST SURGICAL CENTER, LLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 WEST 78TH STREET, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2014-08-28 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGICAL CENTER, LLC PENSION AND 401(K) PLAN
|
2012
|
416539179
|
2013-04-22
|
SOUTHWEST SURGICAL CENTER, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529148400
|
Plan sponsor’s
address |
8100 WEST 78TH STREET, EDINA, MN, 55439
|
Signature of
Role |
Plan administrator |
Date |
2013-04-22 |
Name of individual signing |
NANCY PAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|