|
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD. PROFIT SHARING PLAN AND TRUST
|
2011
|
411520999
|
2012-12-20
|
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-05-20
|
| Business code |
621111
|
| Sponsor’s telephone number |
2187411031
|
| Plan sponsor’s
address |
P.O. BOX 1113, VIRGINIA, MN, 55792
|
Plan administrator’s name and address
| Administrator’s EIN |
411520999 |
| Plan administrator’s name |
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD. |
| Plan administrator’s
address |
P.O. BOX 1113, VIRGINIA, MN, 55792 |
| Administrator’s telephone number |
2187411031 |
Signature of
| Role |
Plan administrator |
| Date |
2012-12-20 |
| Name of individual signing |
KATHLEEN SULENTICH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD. PROFIT SHARING PLAN AND TRUST
|
2011
|
411520999
|
2012-07-12
|
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-05-20
|
| Business code |
621111
|
| Sponsor’s telephone number |
2187411031
|
| Plan sponsor’s
address |
P.O. BOX 1113, VIRGINIA, MN, 55792
|
Plan administrator’s name and address
| Administrator’s EIN |
411520999 |
| Plan administrator’s name |
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD. |
| Plan administrator’s
address |
P.O. BOX 1113, VIRGINIA, MN, 55792 |
| Administrator’s telephone number |
2187411031 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-12 |
| Name of individual signing |
KATHLEEN SULENTICH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD. PROFIT SHARING PLAN AND TRUST
|
2010
|
411520999
|
2011-07-22
|
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-05-20
|
| Business code |
621111
|
| Sponsor’s telephone number |
2187411031
|
| Plan sponsor’s
address |
P.O. BOX 1113, VIRGINIA, MN, 55792
|
Plan administrator’s name and address
| Administrator’s EIN |
411520999 |
| Plan administrator’s name |
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD. |
| Plan administrator’s
address |
P.O. BOX 1113, VIRGINIA, MN, 55792 |
| Administrator’s telephone number |
2187411031 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-22 |
| Name of individual signing |
KATHLEEN SULENTICH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD. PROFIT SHARING PLAN AND TRUST
|
2009
|
411520999
|
2010-07-26
|
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-05-20
|
| Business code |
621111
|
| Sponsor’s telephone number |
2187411031
|
| Plan sponsor’s
address |
P.O. BOX 1113, VIRGINIA, MN, 55792
|
Plan administrator’s name and address
| Administrator’s EIN |
411520999 |
| Plan administrator’s name |
KATHLEEN SULENTICH, M.D., F.A.C.O.G ., LTD. |
| Plan administrator’s
address |
P.O. BOX 1113, VIRGINIA, MN, 55792 |
| Administrator’s telephone number |
2187411031 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-26 |
| Name of individual signing |
KATHLEEN SULENTICH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
