|
WOODLAND UROLOGY P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
412021723
|
2011-12-29
|
WOODLAND UROLOGY P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2187428640
|
| Plan sponsor’s
address |
901 9TH STREET NORTH, SUITE 315, VIRGINIA, MN, 55792
|
Plan administrator’s name and address
| Administrator’s EIN |
412021723 |
| Plan administrator’s name |
WOODLAND UROLOGY P.A. |
| Plan administrator’s
address |
901 9TH STREET NORTH, SUITE 315, VIRGINIA, MN, 55792 |
| Administrator’s telephone number |
2187428640 |
Signature of
| Role |
Plan administrator |
| Date |
2011-12-29 |
| Name of individual signing |
SAMUEL B KRIEGLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND UROLOGY P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
412021723
|
2011-07-22
|
WOODLAND UROLOGY P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2187428640
|
| Plan sponsor’s
address |
901 9TH STREET NORTH, SUITE 315, VIRGINIA, MN, 55792
|
Plan administrator’s name and address
| Administrator’s EIN |
412021723 |
| Plan administrator’s name |
WOODLAND UROLOGY P.A. |
| Plan administrator’s
address |
901 9TH STREET NORTH, SUITE 315, VIRGINIA, MN, 55792 |
| Administrator’s telephone number |
2187428640 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-22 |
| Name of individual signing |
SAMUEL B KRIEGLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODLAND UROLOGY P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
412021723
|
2010-07-26
|
WOODLAND UROLOGY P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2187428640
|
| Plan sponsor’s
address |
901 9TH STREET NORTH, SUITE 315, VIRGINIA, MN, 55792
|
Plan administrator’s name and address
| Administrator’s EIN |
412021723 |
| Plan administrator’s name |
WOODLAND UROLOGY P.A. |
| Plan administrator’s
address |
901 9TH STREET NORTH, SUITE 315, VIRGINIA, MN, 55792 |
| Administrator’s telephone number |
2187428640 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-26 |
| Name of individual signing |
SAMUEL B KRIEGLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
