|
NEW KINGDOM PEDIATRICS 401(K) PLAN
|
2020
|
463159219
|
2021-07-14
|
NEW KINGDOM PEDIATRICS, LLC
|
59
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529990333
|
| Plan sponsor’s
address |
6452 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-14 |
| Name of individual signing |
WILLIAM ZAJAC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-14 |
| Name of individual signing |
WILLIAM ZAJAC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEW KINGDOM PEDIATRICS 401(K) PLAN
|
2019
|
463159219
|
2020-10-12
|
NEW KINGDOM PEDIATRICS, LLC
|
43
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529990333
|
| Plan sponsor’s
address |
6452 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-12 |
| Name of individual signing |
WILLIAM ZAJAC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-10-12 |
| Name of individual signing |
WILLIAM ZAJAC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEW KINGDOM PEDIATRICS 401(K) PLAN
|
2018
|
463159219
|
2019-10-14
|
NEW KINGDOM PEDIATRICS, LLC
|
38
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529990333
|
| Plan sponsor’s
address |
6452 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-14 |
| Name of individual signing |
WILLIAM ZAJAC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-10-14 |
| Name of individual signing |
WILLIAM ZAJAC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEW KINGDOM PEDIATRICS 401(K) PLAN
|
2017
|
463159219
|
2018-07-24
|
NEW KINGDOM PEDIATRICS, LLC
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529990333
|
| Plan sponsor’s
address |
6452 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-24 |
| Name of individual signing |
ERIN KRAMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-07-24 |
| Name of individual signing |
ERIN KRAMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEW KINGDOM PEDIATRICS 401(K) PLAN
|
2016
|
463159219
|
2017-07-28
|
NEW KINGDOM PEDIATRICS, LLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529990333
|
| Plan sponsor’s
address |
6452 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-28 |
| Name of individual signing |
ERIN KRAMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-07-28 |
| Name of individual signing |
ERIN KRAMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
