ADVANCED SPINE ASSOCIATES, P. A. PROFIT SHARING
|
2019
|
411897350
|
2020-10-12
|
ADVANCED SPINE ASSOCIATES, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P. A. PROFIT SHARING PLAN AND TRUST
|
2019
|
411897350
|
2020-10-12
|
ADVANCED SPINE ASSOCIATES, P.A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2020-10-11 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P. A. PROFIT SHARING PLAN AND TRUST
|
2018
|
411897350
|
2019-07-28
|
ADVANCED SPINE ASSOCIATES, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2019-07-28 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2017
|
411897350
|
2018-07-02
|
ADVANCED SPINE ASSOCIATES, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2018-07-02 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2016
|
411897350
|
2017-07-26
|
ADVANCED SPINE ASSOCIATES, P.A.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2017-07-26 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2015
|
411897350
|
2016-07-14
|
ADVANCED SPINE ASSOCIATES, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2014
|
411928523
|
2015-07-23
|
ADVANCED SPINE ASSOCIATES, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2013
|
411897350
|
2014-09-30
|
ADVANCED SPINE ASSOCIATES, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2014-09-30 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-30 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2012
|
411897350
|
2013-07-12
|
ADVANCED SPINE ASSOCIATES, P.A.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7637467100
|
Plan sponsor’s
address |
8232 HIGHWAY 65, SPRING LAKE PARK, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED SPINE ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2011
|
411897350
|
2012-07-05
|
ADVANCED SPINE ASSOCIATES, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
3202538500
|
Plan sponsor’s
address |
1545 NORTHWAY DRIVE, SUITE 140, ST.CLOUD, MN, 56303
|
Plan administrator’s name and address
Administrator’s EIN |
411897350 |
Plan administrator’s name |
ADVANCED SPINE ASSOCIATES, P.A. |
Plan administrator’s
address |
1545 NORTHWAY DRIVE, SUITE 140, ST.CLOUD, MN, 56303 |
Administrator’s telephone number |
3202538500 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
GARRY BANKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|