MEDICAL ASSOCIATES OF MINNESOTA, P. A.
|
2015
|
410959295
|
2016-10-24
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
1409 SHANNON DRIVE, WOODBURY, MN, 55125
|
Signature of
Role |
Plan administrator |
Date |
2016-10-24 |
Name of individual signing |
KATIE CALLAGHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ASSOCIATES OF MINNESOTA, P. A.
|
2015
|
410959295
|
2016-09-13
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
1409 SHANNON DRIVE, WOODBURY, MN, 55125
|
Signature of
Role |
Plan administrator |
Date |
2016-09-13 |
Name of individual signing |
KATIE CALLAGHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A. PROFIT SHARING PLAN
|
2014
|
410959295
|
2015-07-16
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
17 WEST EXCHANGE STREET, SUITE 420, ST. PAUL, MN, 55102
|
Signature of
Role |
Plan administrator |
Date |
2015-07-16 |
Name of individual signing |
KATIE CALLAGHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A. PROFIT SHARING PLAN
|
2013
|
410959295
|
2014-07-18
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
17 WEST EXCHANGE STREET, SUITE 420, ST. PAUL, MN, 55102
|
Signature of
Role |
Plan administrator |
Date |
2014-07-18 |
Name of individual signing |
DAVID GROPPOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-18 |
Name of individual signing |
DAVID GROPPOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A. PROFIT SHARING PLAN
|
2012
|
410959295
|
2013-07-18
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
17 WEST EXCHANGE STREET, SUITE 420, ST. PAUL, MN, 55102
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
DAVID GROPPOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-18 |
Name of individual signing |
DAVID GROPPOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A. PROFIT SHARING PLAN
|
2011
|
410959295
|
2012-08-02
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
36
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
17 WEST EXCHANGE STREET, SUITE 420, ST. PAUL, MN, 55102
|
Plan administrator’s name and address
Administrator’s EIN |
410959295 |
Plan administrator’s name |
MEDICAL ASSOCIATES OF MINNESOTA, P.A. |
Plan administrator’s
address |
17 WEST EXCHANGE STREET, SUITE 420, ST. PAUL, MN, 55102 |
Administrator’s telephone number |
6512324301 |
Signature of
Role |
Plan administrator |
Date |
2012-08-02 |
Name of individual signing |
LORI HULSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-02 |
Name of individual signing |
LORI HULSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A. PROFIT SHARING PLAN
|
2011
|
410959295
|
2012-08-02
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
17 WEST EXCHANGE STREET, SUITE 420, ST. PAUL, MN, 55102
|
Plan administrator’s name and address
Administrator’s EIN |
410959295 |
Plan administrator’s name |
MEDICAL ASSOCIATES OF MINNESOTA, P.A. |
Plan administrator’s
address |
17 WEST EXCHANGE STREET, SUITE 420, ST. PAUL, MN, 55102 |
Administrator’s telephone number |
6512324301 |
Signature of
Role |
Plan administrator |
Date |
2012-08-02 |
Name of individual signing |
LORI HULSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-02 |
Name of individual signing |
LORI HULSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A. PROFIT SHARING PLAN
|
2010
|
410959295
|
2011-07-01
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
17 WEST EXCHANGE STREET, SUITE 401, ST. PAUL, MN, 55102
|
Plan administrator’s name and address
Administrator’s EIN |
410959295 |
Plan administrator’s name |
MEDICAL ASSOCIATES OF MINNESOTA, P.A. |
Plan administrator’s
address |
17 WEST EXCHANGE STREET, SUITE 401, ST. PAUL, MN, 55102 |
Administrator’s telephone number |
6512324301 |
Signature of
Role |
Plan administrator |
Date |
2011-07-01 |
Name of individual signing |
MARY ANN CHICOINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-01 |
Name of individual signing |
MARY ANN CHICOINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A. PROFIT SHARING PLAN
|
2009
|
410959295
|
2010-10-01
|
MEDICAL ASSOCIATES OF MINNESOTA, P.A.
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512324301
|
Plan sponsor’s
address |
17 WEST EXCHANGE STREET, SUITE 401, ST. PAUL, MN, 55102
|
Plan administrator’s name and address
Administrator’s EIN |
410959295 |
Plan administrator’s name |
MEDICAL ASSOCIATES OF MINNESOTA, P.A. |
Plan administrator’s
address |
17 WEST EXCHANGE STREET, SUITE 401, ST. PAUL, MN, 55102 |
Administrator’s telephone number |
6512324301 |
Signature of
Role |
Plan administrator |
Date |
2010-10-01 |
Name of individual signing |
MARY ANN CHICOINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|