INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN
|
2023
|
450729830
|
2024-10-02
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7632018191
|
Plan sponsor’s
address |
9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2024-10-02 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-02 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN
|
2023
|
450729830
|
2024-08-26
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7632018191
|
Plan sponsor’s
address |
9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2024-08-26 |
Name of individual signing |
JASON WOLFF, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN
|
2022
|
450729830
|
2024-10-01
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7632018191
|
Plan sponsor’s
address |
9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2024-10-01 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-01 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN
|
2022
|
450729830
|
2023-10-11
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
71
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7632018191
|
Plan sponsor’s
address |
9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-10 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN
|
2022
|
450729830
|
2023-07-13
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7632018191
|
Plan sponsor’s
address |
9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2023-07-13 |
Name of individual signing |
JASON WOLFF, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN
|
2021
|
450729830
|
2023-10-09
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529082700
|
Plan sponsor’s
address |
9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-09 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN
|
2021
|
450729830
|
2022-10-13
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
82
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529082700
|
Plan sponsor’s
address |
9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-13 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN
|
2021
|
450729830
|
2022-10-13
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7632018191
|
Plan sponsor’s
address |
9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
JASON WOLFF, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN
|
2020
|
450729830
|
2021-10-14
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7632018191
|
Plan sponsor’s
address |
9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN
|
2019
|
450729830
|
2020-10-05
|
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7632018191
|
Plan sponsor’s
address |
9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-05 |
Name of individual signing |
JASON WOLFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|