PULMONARY & CRITICAL CARE ASSOC., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
411366639
|
2014-01-30
|
PULMONARY & CRITICAL CARE ASSOCIATES, P.A.
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512245895
|
Plan sponsor’s
address |
225 SMITH AVENUE NORTH, SUITE 300, ST. PAUL, MN, 55102
|
Signature of
Role |
Plan administrator |
Date |
2014-01-30 |
Name of individual signing |
LINDA FUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY & CRITICAL CARE ASSOC., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
411366639
|
2013-03-29
|
PULMONARY & CRITICAL CARE ASSOCIATES, P.A.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512245895
|
Plan sponsor’s
address |
225 SMITH AVENUE NORTH, SUITE 300, ST. PAUL, MN, 55102
|
Signature of
Role |
Plan administrator |
Date |
2013-03-29 |
Name of individual signing |
LINDA FUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY & CRITICAL CARE ASSOC., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
411366639
|
2012-06-19
|
PULMONARY & CRITICAL CARE ASSOCIATES, P.A.
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512245895
|
Plan sponsor’s
address |
225 SMITH AVENUE NORTH, SUITE 300, ST. PAUL, MN, 55102
|
Plan administrator’s name and address
Administrator’s EIN |
411366639 |
Plan administrator’s name |
PULMONARY & CRITICAL CARE ASSOCIATES, P.A. |
Plan administrator’s
address |
225 SMITH AVENUE NORTH, SUITE 300, ST. PAUL, MN, 55102 |
Administrator’s telephone number |
6512245895 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
BRIAN AMDAHL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY & CRITICAL CARE ASSOC., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
411366639
|
2011-05-23
|
PULMONARY & CRITICAL CARE ASSOCIATES, P.A.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512245895
|
Plan sponsor’s
address |
225 SMITH AVENUE NORTH, SUITE 300, ST. PAUL, MN, 55102
|
Plan administrator’s name and address
Administrator’s EIN |
411366639 |
Plan administrator’s name |
PULMONARY & CRITICAL CARE ASSOCIATES, P.A. |
Plan administrator’s
address |
225 SMITH AVENUE NORTH, SUITE 300, ST. PAUL, MN, 55102 |
Administrator’s telephone number |
6512245895 |
Signature of
Role |
Plan administrator |
Date |
2011-05-23 |
Name of individual signing |
BRIAN AMDAHL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY & CRITICAL CARE ASSOC., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
411366639
|
2010-09-13
|
PULMONARY & CRITICAL CARE ASSOCIATES, P.A.
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512245895
|
Plan sponsor’s
address |
225 SMITH AVENUE NORTH, SUITE 300, SUITE 300, ST. PAUL, MN, 55102
|
Plan administrator’s name and address
Administrator’s EIN |
411366639 |
Plan administrator’s name |
PULMONARY & CRITICAL CARE ASSOCIATES, P.A. |
Plan administrator’s
address |
225 SMITH AVENUE NORTH, SUITE 300, SUITE 300, ST. PAUL, MN, 55102 |
Administrator’s telephone number |
6512245895 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
THOMAS LORENTZEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|