NEUROLOGY SPECIALISTS, LLC.
|
2013
|
204056722
|
2014-10-28
|
NEUROLOGY SPECIALISTS, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067
|
Signature of
Role |
Plan administrator |
Date |
2014-10-28 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401K PLAN
|
2013
|
204056722
|
2014-10-13
|
NEUROLOGY SPECIALISTS, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6128653213
|
Plan sponsor’s
address |
4417 AVONDALE ROAD, GOLDEN VALLEY, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401K PLAN
|
2012
|
204056722
|
2013-08-13
|
NEUROLOGY SPECIALISTS, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER ST STE 280, ATTN. REGINE ADAM, ST LOUIS PARK, MN, 554164888
|
Signature of
Role |
Plan administrator |
Date |
2013-08-13 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401K PLAN
|
2011
|
204056722
|
2012-10-03
|
NEUROLOGY SPECIALISTS, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER ST STE 280, ATTN. REGINE ADAM, SAINT PAUL, MN, 551021067
|
Plan administrator’s name and address
Administrator’s EIN |
204056722 |
Plan administrator’s name |
NEUROLOGY SPECIALISTS, LLC |
Plan administrator’s
address |
514 SAINT PETER ST STE 280, ATTN. REGINE ADAM, SAINT PAUL, MN, 551021067 |
Administrator’s telephone number |
6512912551 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401(K) PLAN
|
2010
|
204056722
|
2011-10-26
|
NEUROLOGY SPECIALISTS, LLC
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067
|
Plan administrator’s name and address
Administrator’s EIN |
204056722 |
Plan administrator’s name |
NEUROLOGY SPECIALISTS, LLC |
Plan administrator’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067 |
Administrator’s telephone number |
6512912551 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401(K) PLAN
|
2010
|
204056722
|
2011-10-26
|
NEUROLOGY SPECIALISTS, LLC
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067
|
Plan administrator’s name and address
Administrator’s EIN |
204056722 |
Plan administrator’s name |
NEUROLOGY SPECIALISTS, LLC |
Plan administrator’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067 |
Administrator’s telephone number |
6512912551 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-26 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401(K) PLAN
|
2010
|
204056722
|
2011-10-26
|
NEUROLOGY SPECIALISTS, LLC
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067
|
Plan administrator’s name and address
Administrator’s EIN |
204056722 |
Plan administrator’s name |
NEUROLOGY SPECIALISTS, LLC |
Plan administrator’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067 |
Administrator’s telephone number |
6512912551 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401(K) PLAN
|
2010
|
204056722
|
2011-10-21
|
NEUROLOGY SPECIALISTS, LLC
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067
|
Plan administrator’s name and address
Administrator’s EIN |
204056722 |
Plan administrator’s name |
NEUROLOGY SPECIALISTS, LLC |
Plan administrator’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067 |
Administrator’s telephone number |
6512912551 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401(K) PLAN
|
2010
|
204056722
|
2011-10-26
|
NEUROLOGY SPECIALISTS, LLC
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067
|
Plan administrator’s name and address
Administrator’s EIN |
204056722 |
Plan administrator’s name |
NEUROLOGY SPECIALISTS, LLC |
Plan administrator’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067 |
Administrator’s telephone number |
6512912551 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NEUROLOGY SPECIALISTS, LLC 401(K) PLAN
|
2010
|
204056722
|
2011-10-26
|
NEUROLOGY SPECIALISTS, LLC
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6512912551
|
Plan sponsor’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067
|
Plan administrator’s name and address
Administrator’s EIN |
204056722 |
Plan administrator’s name |
NEUROLOGY SPECIALISTS, LLC |
Plan administrator’s
address |
514 SAINT PETER STREET, SUITE 280, SAINT PAUL, MN, 551021067 |
Administrator’s telephone number |
6512912551 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
REGINE ADAM |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-26 |
Name of individual signing |
NEUROLOGY SPECIALISTS, LLC |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|