|
THE OPEN MEP NATIVE AMERICAN COMMUNITY CLINIC
|
2021
|
030445789
|
2022-07-26
|
NATIVE AMERICAN COMMUNITY CLINIC
|
85
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
338
|
| Effective date of plan |
2018-01-10
|
| Business code |
621498
|
| Sponsor’s telephone number |
6128728086
|
| Plan sponsor’s
address |
1213 E FRANKLIN AVE, MINNEAPOLIS, MN, 55404
|
Plan administrator’s name and address
| Administrator’s EIN |
813799174 |
| Plan administrator’s name |
FIDUCIARY WISE, LLC |
| Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
| Administrator’s telephone number |
4808554017 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-26 |
| Name of individual signing |
KRISTI DALLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE OPEN MEP NATIVE AMERICAN COMMUNITY CLINIC
|
2020
|
030445789
|
2021-07-26
|
NATIVE AMERICAN COMMUNITY CLINIC
|
84
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
338
|
| Effective date of plan |
2018-01-10
|
| Business code |
621498
|
| Sponsor’s telephone number |
6128728086
|
| Plan sponsor’s
address |
1213 E FRANKLIN AVE, MINNEAPOLIS, MN, 55404
|
Plan administrator’s name and address
| Administrator’s EIN |
813799174 |
| Plan administrator’s name |
FIDUCIARY WISE, LLC |
| Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
| Administrator’s telephone number |
4808554017 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-26 |
| Name of individual signing |
KRISTI DALLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE OPEN MEP NATIVE AMERICAN COMMUNITY CLINIC
|
2019
|
030445789
|
2020-07-07
|
NATIVE AMERICAN COMMUNITY CLINIC
|
54
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
338
|
| Effective date of plan |
2018-01-10
|
| Business code |
621498
|
| Sponsor’s telephone number |
6128728086
|
| Plan sponsor’s
address |
1213 E FRANKLIN AVE, MINNEAPOLIS, MN, 55404
|
Plan administrator’s name and address
| Administrator’s EIN |
813799174 |
| Plan administrator’s name |
FIDUCIARY WISE, LLC |
| Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
| Administrator’s telephone number |
4808554017 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-07 |
| Name of individual signing |
KRISTI DALLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE OPEN MEP NATIVE AMERICAN COMMUNITY CLINIC
|
2018
|
030445789
|
2019-05-21
|
NATIVE AMERICAN COMMUNITY CLINIC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
338
|
| Effective date of plan |
2018-01-10
|
| Business code |
621498
|
| Sponsor’s telephone number |
6128728086
|
| Plan sponsor’s
address |
1213 E FRANKLIN AVE, MINNEAPOLIS, MN, 55404
|
Plan administrator’s name and address
| Administrator’s EIN |
813799174 |
| Plan administrator’s name |
FIDUCIARY WISE, LLC |
| Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
| Administrator’s telephone number |
4808554017 |
Signature of
| Role |
Plan administrator |
| Date |
2019-05-21 |
| Name of individual signing |
KRISTI DALLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
