ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2023
|
931009266
|
2024-06-06
|
ANESTHESIA CARE TEAM P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2024-06-06 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-06 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2022
|
931009266
|
2023-09-01
|
ANESTHESIA CARE TEAM P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2023-09-01 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-01 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2021
|
931009266
|
2022-06-29
|
ANESTHESIA CARE TEAM P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2022-06-29 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-29 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2020
|
931009266
|
2021-07-21
|
ANESTHESIA CARE TEAM P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2021-07-21 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-21 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2019
|
931009266
|
2020-10-06
|
ANESTHESIA CARE TEAM P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2020-10-06 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-06 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2018
|
931009266
|
2019-10-07
|
ANESTHESIA CARE TEAM P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2019-10-07 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-07 |
Name of individual signing |
KARL CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2017
|
931009266
|
2018-09-27
|
ANESTHESIA CARE TEAM P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2018-09-27 |
Name of individual signing |
DONALD J. GYTRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-27 |
Name of individual signing |
DONALD J. GYTRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2016
|
931009266
|
2017-08-31
|
ANESTHESIA CARE TEAM P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2017-08-31 |
Name of individual signing |
DONALD J. GYTRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-31 |
Name of individual signing |
DONALD J. GYTRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2015
|
931009266
|
2016-09-22
|
ANESTHESIA CARE TEAM P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2016-09-22 |
Name of individual signing |
DONALD J. GYTRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-22 |
Name of individual signing |
DONALD J. GYTRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN
|
2014
|
931009266
|
2015-09-22
|
ANESTHESIA CARE TEAM P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187329464
|
Plan sponsor’s
address |
PO BOX 432, PARK RAPIDS, MN, 564700432
|
Signature of
Role |
Plan administrator |
Date |
2015-09-22 |
Name of individual signing |
DONALD J. GYTRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-22 |
Name of individual signing |
DONALD J. GYTRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|