NORTH METRO MIDWIVES, P. A. 401K PROFIT SHARING PLAN
|
2015
|
412125392
|
2016-12-19
|
NORTH METRO MIDWIVES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9529881248
|
Plan sponsor’s
address |
17100 28TH AVE N, PLYMOUTH, MN, 55447
|
Signature of
Role |
Plan administrator |
Date |
2016-12-12 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-12-12 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN
|
2015
|
412125392
|
2016-08-01
|
NORTH METRO MIDWIVES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9529881248
|
Plan sponsor’s
address |
17100 28TH AVE N, PLYMOUTH, MN, 55447
|
Signature of
Role |
Plan administrator |
Date |
2016-08-01 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-01 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN
|
2015
|
412125392
|
2016-07-27
|
NORTH METRO MIDWIVES, P.A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9529881248
|
Plan sponsor’s
address |
12805 MINNESOTA 55, SUITE 111, PLYMOUTH, MN, 55441
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN
|
2014
|
412125392
|
2015-09-14
|
NORTH METRO MIDWIVES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9529881248
|
Plan sponsor’s
address |
12805 MINNESOTA 55, SUITE 111, PLYMOUTH, MN, 55441
|
Signature of
Role |
Plan administrator |
Date |
2015-09-13 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-13 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN
|
2013
|
412125392
|
2014-07-10
|
NORTH METRO MIDWIVES, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9529881248
|
Plan sponsor’s
address |
12805 MINNESOTA 55, SUITE 111, PLYMOUTH, MN, 55441
|
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-09 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN
|
2012
|
412125392
|
2013-08-21
|
NORTH METRO MIDWIVES, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9529881248
|
Plan sponsor’s
address |
12805 MINNESOTA 55, SUITE 111, PLYMOUTH, MN, 55441
|
Signature of
Role |
Plan administrator |
Date |
2013-08-21 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-21 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN
|
2011
|
412125392
|
2012-05-14
|
NORTH METRO MIDWIVES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9529881248
|
Plan sponsor’s
address |
8301 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN, 55472
|
Plan administrator’s name and address
Administrator’s EIN |
412125392 |
Plan administrator’s name |
NORTH METRO MIDWIVES, P.A. |
Plan administrator’s
address |
8301 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN, 55472 |
Administrator’s telephone number |
9529881248 |
Signature of
Role |
Plan administrator |
Date |
2012-05-14 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-14 |
Name of individual signing |
KATHERINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN
|
2010
|
412125392
|
2011-09-24
|
NORTH METRO MIDWIVES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9529881248
|
Plan sponsor’s
address |
8301 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN, 55472
|
Plan administrator’s name and address
Administrator’s EIN |
412125392 |
Plan administrator’s name |
NORTH METRO MIDWIVES, P.A. |
Plan administrator’s
address |
8301 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN, 55472 |
Administrator’s telephone number |
9529881248 |
Signature of
Role |
Plan administrator |
Date |
2011-09-23 |
Name of individual signing |
ROBERT SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-23 |
Name of individual signing |
KATHRINE SIMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|