|
MENDAKOTA PEDIATRICS, LTD. 401(K) PLAN
|
2023
|
341982546
|
2024-06-27
|
MENDAKOTA PEDIATRICS, LTD
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6123845560
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVENUE, #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-27 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MENDAKOTA PEDIATRICS, LTD. 401(K) PLAN
|
2022
|
341982546
|
2023-06-07
|
MENDAKOTA PEDIATRICS, LTD
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6123845560
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVENUE, #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-07 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MENDAKOTA PEDIATRICS LTD 401(K) PLAN
|
2021
|
341982546
|
2022-07-19
|
MENDAKOTA PEDIATRICS, LTD.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6515527999
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVE., #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-19 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MENDAKOTA PEDIATRICS LTD 401(K) PLAN
|
2020
|
341982546
|
2021-08-24
|
MENDAKOTA PEDIATRICS, LTD.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6515527999
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVE., #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2021-08-24 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MENDAKOTA PEDIATRICS LTD 401(K) PLAN
|
2019
|
341982546
|
2020-10-12
|
MENDAKOTA PEDIATRICS, LTD.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6515527999
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVE., #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-12 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MENDAKOTA PEDIATRICS LTD 401(K) PLAN
|
2018
|
341982546
|
2019-07-09
|
MENDAKOTA PEDIATRICS, LTD.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6515527999
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVE., #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-09 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MENDAKOTA PEDIATRICS LTD 401(K) PLAN
|
2017
|
341982546
|
2018-07-25
|
MENDAKOTA PEDIATRICS, LTD.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6515527999
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVE., #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-25 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MENDAKOTA PEDIATRICS LTD 401(K) PLAN
|
2016
|
341982546
|
2017-07-21
|
MENDAKOTA PEDIATRICS, LTD.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6515527999
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVE., #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-21 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MENDAKOTA PEDIATRICS LTD 401(K) PLAN
|
2015
|
341982546
|
2016-07-08
|
MENDAKOTA PEDIATRICS, LTD.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6515527999
|
| Plan sponsor’s
address |
1880 LIVINGSTON AVE., #102, WEST ST. PAUL, MN, 55118
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-08 |
| Name of individual signing |
MARK GOBEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
