ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
411000101
|
2017-04-03
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A.
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-31
|
Business code |
621399
|
Sponsor’s telephone number |
7635714000
|
Plan sponsor’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
|
Signature of
Role |
Plan administrator |
Date |
2017-04-03 |
Name of individual signing |
JANET WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-03 |
Name of individual signing |
ROGER WEENIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
411000101
|
2016-04-20
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-31
|
Business code |
621399
|
Sponsor’s telephone number |
7635714000
|
Plan sponsor’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
|
Signature of
Role |
Plan administrator |
Date |
2016-04-20 |
Name of individual signing |
JANET WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-20 |
Name of individual signing |
SOHEIL PAKZAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
411000101
|
2015-05-08
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-31
|
Business code |
621399
|
Sponsor’s telephone number |
7635714000
|
Plan sponsor’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
|
Signature of
Role |
Plan administrator |
Date |
2015-05-08 |
Name of individual signing |
SOHEIL PAKZAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-08 |
Name of individual signing |
SOHEIL PAKZAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
411000101
|
2014-06-26
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-31
|
Business code |
621399
|
Sponsor’s telephone number |
7635714000
|
Plan sponsor’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
|
Signature of
Role |
Plan administrator |
Date |
2014-06-26 |
Name of individual signing |
SOHEIL PAKZAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-26 |
Name of individual signing |
SOHEIL PAKZAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
411000101
|
2013-07-10
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A.
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-31
|
Business code |
621399
|
Sponsor’s telephone number |
7635714000
|
Plan sponsor’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
|
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
STEVEN KEMPERS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-10 |
Name of individual signing |
STEVEN KEMPERS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
411000101
|
2012-06-29
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A.
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-31
|
Business code |
621399
|
Sponsor’s telephone number |
7635714000
|
Plan sponsor’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
|
Plan administrator’s name and address
Administrator’s EIN |
411000101 |
Plan administrator’s name |
ASSOCIATED SKIN CARE SPECIALISTS, P.A. |
Plan administrator’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134 |
Administrator’s telephone number |
7635714000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-29 |
Name of individual signing |
SOHEIL PAKZAD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-29 |
Name of individual signing |
SOHEIL PAKZAD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
411000101
|
2011-06-09
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A.
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-31
|
Business code |
621399
|
Sponsor’s telephone number |
7635714000
|
Plan sponsor’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
|
Plan administrator’s name and address
Administrator’s EIN |
411000101 |
Plan administrator’s name |
ASSOCIATED SKIN CARE SPECIALISTS, P.A. |
Plan administrator’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134 |
Administrator’s telephone number |
7635714000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-09 |
Name of individual signing |
SOHEIL PAKZAD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-09 |
Name of individual signing |
SOHEIL PAKZAD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
411000101
|
2010-07-13
|
ASSOCIATED SKIN CARE SPECIALISTS, P.A.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-31
|
Business code |
621399
|
Sponsor’s telephone number |
7635714000
|
Plan sponsor’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
|
Plan administrator’s name and address
Administrator’s EIN |
411000101 |
Plan administrator’s name |
ASSOCIATED SKIN CARE SPECIALISTS, P.A. |
Plan administrator’s
address |
7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134 |
Administrator’s telephone number |
7635714000 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
SOHEIL PAKZAD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
SOHEIL PAKZAD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|