CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
411355560
|
2024-09-18
|
CENTRAL PEDIATRICS, P.A.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
SHAWN SCHMIDTKNECHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-18 |
Name of individual signing |
SHAWN SCHMIDTKNECHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
411355560
|
2023-10-06
|
CENTRAL PEDIATRICS, P.A.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2023-10-06 |
Name of individual signing |
LAWRENCE MORRISSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-06 |
Name of individual signing |
LAWRENCE MORRISSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
411355560
|
2022-10-03
|
CENTRAL PEDIATRICS, P.A.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2022-10-03 |
Name of individual signing |
SHAWN SCHMIDTKNECHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-03 |
Name of individual signing |
SHAWN SCHMIDTKNECHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
411355560
|
2021-07-12
|
CENTRAL PEDIATRICS, P.A.
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2021-07-09 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-09 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
411355560
|
2020-08-27
|
CENTRAL PEDIATRICS, P.A.
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2020-08-26 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-26 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
411355560
|
2019-09-23
|
CENTRAL PEDIATRICS, P.A.
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2019-09-20 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-20 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
411355560
|
2018-09-27
|
CENTRAL PEDIATRICS, P.A.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2018-09-27 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-27 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
411355560
|
2017-09-11
|
CENTRAL PEDIATRICS, P.A.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2017-09-08 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-08 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
411355560
|
2016-10-12
|
CENTRAL PEDIATRICS, P.A.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
9680 TAMARACK ROAD, SUITE 100, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-12 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
411355560
|
2015-10-01
|
CENTRAL PEDIATRICS, P.A.
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6517380470
|
Plan sponsor’s
address |
7803 AFTON ROAD, WOODBURY, MN, 551251507
|
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-01 |
Name of individual signing |
SHELLY STRONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|