EDINA EYE CLINIC, P.A. PENSION PLAN
|
2023
|
410968103
|
2024-05-28
|
EDINA EYE CLINIC, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529202020
|
Plan sponsor’s
address |
3939 WEST 50TH STREET, SUITE 200, EDINA, MN, 55424
|
Signature of
Role |
Plan administrator |
Date |
2024-05-28 |
Name of individual signing |
TIMOTHY GROMOV |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-28 |
Name of individual signing |
TIMOTHY GROMOV |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN
|
2022
|
410968103
|
2023-04-12
|
EDINA EYE CLINIC, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529202020
|
Plan sponsor’s
address |
3939 WEST 50TH STREET, SUITE 200, EDINA, MN, 55424
|
Signature of
Role |
Plan administrator |
Date |
2023-04-12 |
Name of individual signing |
TIMOTHY GROMOV |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-12 |
Name of individual signing |
TIMOTHY GROMOV |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN
|
2021
|
410968103
|
2022-08-22
|
EDINA EYE CLINIC, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529202020
|
Plan sponsor’s
address |
3939 WEST 50TH STREET, SUITE 200, EDINA, MN, 55424
|
Signature of
Role |
Plan administrator |
Date |
2022-08-15 |
Name of individual signing |
RHONDI MEIUSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-15 |
Name of individual signing |
RHONDI MEIUSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN
|
2020
|
410968103
|
2021-10-07
|
EDINA EYE CLINIC, P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529202020
|
Plan sponsor’s
address |
3939 WEST 50TH STREET, SUITE 200, EDINA, MN, 55424
|
Signature of
Role |
Plan administrator |
Date |
2021-10-07 |
Name of individual signing |
TIMOTHY GROMOV |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-07 |
Name of individual signing |
TIMOTHY GROMOV |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN & TRUST
|
2019
|
410968103
|
2020-07-10
|
EDINA EYE CLINIC, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9522534225
|
Plan sponsor’s
address |
3939 W 50TH STREET, SUITE 200, EDINA, MN, 554241244
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
NICHOLAS KUNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN & TRUST
|
2018
|
410968103
|
2019-07-31
|
EDINA EYE CLINIC, P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9522534225
|
Plan sponsor’s
address |
3939 W 50TH STREET, SUITE 200, EDINA, MN, 554241244
|
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
NICHOLAS KUNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN & TRUST
|
2017
|
410968103
|
2018-09-21
|
EDINA EYE CLINIC, P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9522534225
|
Plan sponsor’s
address |
3939 W 50TH STREET, SUITE 200, EDINA, MN, 554241244
|
Signature of
Role |
Plan administrator |
Date |
2018-09-21 |
Name of individual signing |
NICHOLAS KUNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-21 |
Name of individual signing |
NICHOLAS KUNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN AND TRUST
|
2016
|
410968103
|
2017-05-26
|
EDINA EYE CLINIC, P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
9529202020
|
Plan sponsor’s
address |
3939 W.50TH ST. 200, EDINA, MN, 554241258
|
Signature of
Role |
Plan administrator |
Date |
2017-05-26 |
Name of individual signing |
WENDI JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-26 |
Name of individual signing |
WENDI JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN AND TRUST
|
2015
|
410968103
|
2016-07-19
|
EDINA EYE CLINIC, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
9529202020
|
Plan sponsor’s
address |
3939 W.50TH ST. 200, EDINA, MN, 554241258
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
WENDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE CLINIC, P.A. PENSION PLAN AND TRUST
|
2014
|
410968103
|
2015-07-10
|
EDINA EYE CLINIC, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
9529202020
|
Plan sponsor’s
address |
3939 W.50TH ST. 200, EDINA, MN, 554241258
|
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
NICHOLAS KUNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|