NORTHLAND EAR, NOSE & THROAT ASSOCIATES SAFE HARBOR 401K PROFIT SHARING PLAN
|
2017
|
410992565
|
2018-12-05
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET SUITE 301, DULUTH, MN, 55805
|
Signature of
Role |
Plan administrator |
Date |
2018-12-05 |
Name of individual signing |
DAVID M. CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSICIATES SAFE HARBOR 401K PROFIT SHARING PLAN
|
2016
|
410992565
|
2018-02-22
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET SUITE 301, DULUTH, MN, 55805
|
Signature of
Role |
Plan administrator |
Date |
2018-02-21 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSICIATES SAFE HARBOR 401K PROFIT SHARING PLAN
|
2015
|
410992565
|
2016-11-28
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 E 1ST ST STE 301, DULUTH, MN, 558052225
|
Signature of
Role |
Plan administrator |
Date |
2016-11-28 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSICIATES SAFE HARBOR 401K PROFIT SHARING PLAN
|
2014
|
410992565
|
2015-12-15
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET SUITE 301, DULUTH, MN, 55805
|
Signature of
Role |
Plan administrator |
Date |
2015-12-15 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSICIATES SAFE HARBOR 401K PROFIT SHARING PLAN
|
2013
|
410992565
|
2015-02-06
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET SUITE 301, DULUTH, MN, 55805
|
Signature of
Role |
Plan administrator |
Date |
2015-02-06 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSICIATES SAFE HARBOR 401K PROFIT SHARING PLAN
|
2012
|
410992565
|
2013-12-03
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET SUITE 301, DULUTH, MN, 55805
|
Signature of
Role |
Plan administrator |
Date |
2013-12-03 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A. PENSION PLAN
|
2012
|
410992565
|
2013-08-15
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET, SUITE 301, DULUTH, MN, 55805
|
Signature of
Role |
Plan administrator |
Date |
2013-08-15 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A. PENSION PLAN
|
2011
|
410992565
|
2013-03-07
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET, SUITE 301, DULUTH, MN, 55805
|
Plan administrator’s name and address
Administrator’s EIN |
410992565 |
Plan administrator’s name |
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A. |
Plan administrator’s
address |
920 EAST FIRST STREET, SUITE 301, DULUTH, MN, 55805 |
Administrator’s telephone number |
2182796279 |
Signature of
Role |
Plan administrator |
Date |
2013-03-07 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSICIATES SAFE HARBOR 401K PROFIT SHARING PLAN
|
2011
|
410992565
|
2012-11-28
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET SUITE 301, DULUTH, MN, 55805
|
Plan administrator’s name and address
Administrator’s EIN |
410992565 |
Plan administrator’s name |
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A. |
Plan administrator’s
address |
920 EAST FIRST STREET SUITE 301, DULUTH, MN, 55805 |
Administrator’s telephone number |
2182796279 |
Signature of
Role |
Plan administrator |
Date |
2012-11-28 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A. PENSION PLAN
|
2010
|
410992565
|
2012-07-10
|
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2182796279
|
Plan sponsor’s
address |
920 EAST FIRST STREET, SUITE 301, DULUTH, MN, 55805
|
Plan administrator’s name and address
Administrator’s EIN |
410992565 |
Plan administrator’s name |
NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A. |
Plan administrator’s
address |
920 EAST FIRST STREET, SUITE 301, DULUTH, MN, 55805 |
Administrator’s telephone number |
2182796279 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
DAVID CHOQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|