| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1989-01-01
|
| Business code |
621112
|
| Sponsor’s telephone number |
6516360308
|
| Plan sponsor’s mailing address |
2475 15TH STREET NW, SUITE D, NEW BRIGHTON, MN, 55112
|
| Plan sponsor’s
address |
2475 15TH STREET NW, SUITE D, NEW BRIGHTON, MN, 55112
|
Plan administrator’s name and address
| Administrator’s EIN |
411602022 |
| Plan administrator’s name |
NORTH METRO PSYCHIATRY |
| Plan administrator’s
address |
2475 15TH STREET NW, SUITE D, NEW BRIGHTON, MN, 55112 |
| Administrator’s telephone number |
6516360308 |
Number of participants as of the end of the plan year
| Active participants |
4 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
Signature of
| Role |
Plan administrator |
| Date |
2010-03-23 |
| Name of individual signing |
DANIEL ALBEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
