ROTATION MEDICAL, INC 401K PLAN
|
2015
|
205996675
|
2016-12-14
|
ROTATION MEDICAL, INC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-06-01
|
Business code |
339110
|
Sponsor’s telephone number |
7637467510
|
Plan sponsor’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447
|
Signature of
Role |
Plan administrator |
Date |
2016-12-14 |
Name of individual signing |
KIRSTEN HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-12-14 |
Name of individual signing |
KIRSTEN HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROTATION MEDICAL, INC 401K PLAN
|
2015
|
205996675
|
2016-07-28
|
ROTATION MEDICAL, INC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-06-01
|
Business code |
339110
|
Sponsor’s telephone number |
7637467510
|
Plan sponsor’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447
|
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
KIRSTEN HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROTATION MEDICAL, INC 401K PLAN
|
2014
|
205996675
|
2015-07-27
|
ROTATION MEDICAL, INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-06-01
|
Business code |
339110
|
Sponsor’s telephone number |
7637467510
|
Plan sponsor’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447
|
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
KIRSTEN HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROTATION MEDICAL, INC 401K PLAN
|
2013
|
205996675
|
2014-07-15
|
ROTATION MEDICAL, INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-06-01
|
Business code |
339110
|
Sponsor’s telephone number |
7637467510
|
Plan sponsor’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447
|
Signature of
Role |
Plan administrator |
Date |
2014-07-15 |
Name of individual signing |
DIANE LYNGDAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROTATION MEDICAL, INC 401K PLAN
|
2012
|
205996675
|
2013-06-28
|
ROTATION MEDICAL, INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-06-01
|
Business code |
339110
|
Sponsor’s telephone number |
7637467510
|
Plan sponsor’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447
|
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
DIANE LYNGDAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROTATION MEDICAL, INC 401K PLAN
|
2011
|
205996675
|
2012-07-17
|
ROTATION MEDICAL, INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-06-01
|
Business code |
339110
|
Sponsor’s telephone number |
7637467510
|
Plan sponsor’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447
|
Plan administrator’s name and address
Administrator’s EIN |
205996675 |
Plan administrator’s name |
ROTATION MEDICAL, INC |
Plan administrator’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447 |
Administrator’s telephone number |
7637467510 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
DIANE LYNGDAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROTATION MEDICAL, INC 401K PLAN
|
2010
|
205996675
|
2011-06-28
|
ROTATION MEDICAL, INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-06-01
|
Business code |
339110
|
Sponsor’s telephone number |
7637467510
|
Plan sponsor’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447
|
Plan administrator’s name and address
Administrator’s EIN |
205996675 |
Plan administrator’s name |
ROTATION MEDICAL, INC |
Plan administrator’s
address |
15350 25TH AVE N STE 100, PLYMOUTH, MN, 55447 |
Administrator’s telephone number |
7637467510 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
DIANE LYNGDAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|