|
FRANK G. LUSHINE M.D., P.A. PENSION PLAN
|
2010
|
411672296
|
2011-07-13
|
FRANK G. LUSHINE, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6128635050
|
| Plan sponsor’s mailing address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404
|
| Plan sponsor’s
address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404
|
Plan administrator’s name and address
| Administrator’s EIN |
411672296 |
| Plan administrator’s name |
FRANK G. LUSHINE, M.D., P.A. |
| Plan administrator’s
address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404 |
| Administrator’s telephone number |
6128635050 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-08 |
| Name of individual signing |
FRANK G. LUSHINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRANK G. LUSHINE M.D., P.A. PS PLAN
|
2010
|
411672296
|
2011-07-13
|
FRANK G. LUSHINE, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-02-23
|
| Business code |
621111
|
| Sponsor’s telephone number |
6128635050
|
| Plan sponsor’s mailing address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404
|
| Plan sponsor’s
address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404
|
Plan administrator’s name and address
| Administrator’s EIN |
411672296 |
| Plan administrator’s name |
FRANK G. LUSHINE, M.D., P.A. |
| Plan administrator’s
address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404 |
| Administrator’s telephone number |
6128635050 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-08 |
| Name of individual signing |
FRANK G. LUSHINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRANK G. LUSHINE M.D., P.A. PS PLAN
|
2009
|
411672296
|
2010-08-26
|
FRANK G. LUSHINE, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-02-23
|
| Business code |
621111
|
| Sponsor’s telephone number |
6128635050
|
| Plan sponsor’s mailing address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404
|
| Plan sponsor’s
address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404
|
Plan administrator’s name and address
| Administrator’s EIN |
411672296 |
| Plan administrator’s name |
FRANK G. LUSHINE, M.D., P.A. |
| Plan administrator’s
address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404 |
| Administrator’s telephone number |
6128635050 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-25 |
| Name of individual signing |
FRANK G. LUSHINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRANK G. LUSHINE M.D., P.A. PENSION PLAN
|
2009
|
411672296
|
2010-08-26
|
FRANK G. LUSHINE, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6128635050
|
| Plan sponsor’s mailing address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404
|
| Plan sponsor’s
address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404
|
Plan administrator’s name and address
| Administrator’s EIN |
411672296 |
| Plan administrator’s name |
FRANK G. LUSHINE, M.D., P.A. |
| Plan administrator’s
address |
2545 CHICAGO AVE STE 510, MINNEAPOLIS, MN, 55404 |
| Administrator’s telephone number |
6128635050 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-25 |
| Name of individual signing |
FRANK G. LUSHINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
