INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2018
|
261377674
|
2019-05-20
|
INSPIRE MEDICAL SYSTEMS, INC.
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
7639575034
|
Plan sponsor’s
address |
5500 WAYZATA BLVD., SUITE 1600, GOLDEN VALLEY, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2019-05-20 |
Name of individual signing |
RICHARD BUCHHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-20 |
Name of individual signing |
RICHARD BUCHHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2017
|
261377674
|
2018-07-18
|
INSPIRE MEDICAL SYSTEMS, INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
7639575034
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
RICHARD BUCHHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-18 |
Name of individual signing |
RICHARD BUCHHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2016
|
261377674
|
2017-05-26
|
INSPIRE MEDICAL SYSTEMS, INC.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6128037843
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2017-05-26 |
Name of individual signing |
TIM HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-26 |
Name of individual signing |
TIM HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2015
|
261377674
|
2016-06-01
|
INSPIRE MEDICAL SYSTEMS, INC.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6128037843
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2016-05-31 |
Name of individual signing |
TIMOTHY HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-31 |
Name of individual signing |
TIMOTHY HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2014
|
261377674
|
2015-05-13
|
INSPIRE MEDICAL SYSTEMS, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6128037843
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2015-05-13 |
Name of individual signing |
TIMOTHY P HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-13 |
Name of individual signing |
TIMOTHY P HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2013
|
261377674
|
2014-04-16
|
INSPIRE MEDICAL SYSTEMS, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6128037843
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2014-04-16 |
Name of individual signing |
TIMOTHY HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-16 |
Name of individual signing |
TIMOTHY HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2012
|
261377674
|
2013-03-12
|
INSPIRE MEDICAL SYSTEMS, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6128037843
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2013-03-12 |
Name of individual signing |
TIMOTHY HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-12 |
Name of individual signing |
TIMOTHY HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2011
|
261377674
|
2012-03-30
|
INSPIRE MEDICAL SYSTEMS, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6128037843
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Plan administrator’s name and address
Administrator’s EIN |
261377674 |
Plan administrator’s name |
INSPIRE MEDICAL SYSTEMS, INC. |
Plan administrator’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369 |
Administrator’s telephone number |
6128037843 |
Signature of
Role |
Plan administrator |
Date |
2012-03-28 |
Name of individual signing |
TIM HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-28 |
Name of individual signing |
TIM HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2010
|
261377674
|
2011-04-11
|
INSPIRE MEDICAL SYSTEMS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6128037843
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Plan administrator’s name and address
Administrator’s EIN |
261377674 |
Plan administrator’s name |
INSPIRE MEDICAL SYSTEMS, INC. |
Plan administrator’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369 |
Administrator’s telephone number |
6128037843 |
Signature of
Role |
Plan administrator |
Date |
2011-04-05 |
Name of individual signing |
TIM HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-05 |
Name of individual signing |
TIM HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INSPIRE MEDICAL SYSTEMS, INC. 401(K) PLAN
|
2009
|
261377674
|
2010-07-16
|
INSPIRE MEDICAL SYSTEMS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
7632057970
|
Plan sponsor’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Plan administrator’s name and address
Administrator’s EIN |
261377674 |
Plan administrator’s name |
INSPIRE MEDICAL SYSTEMS, INC. |
Plan administrator’s
address |
9700 63RD AVENUE NORTH, SUITE 200, MAPLE GROVE, MN, 55369 |
Administrator’s telephone number |
7632057970 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
TIMOTHY P. HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-15 |
Name of individual signing |
TIMOTHY P. HERBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|