MAPLEWOOD PODIATRY CLINIC, P. A. 401(K) PLAN
|
2019
|
261318820
|
2020-08-20
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2520 WHITE BEAR AVENUE, SUITE A, MAPLEWOOD, MN, 55109
|
Signature of
Role |
Plan administrator |
Date |
2020-08-20 |
Name of individual signing |
CHRISTOPHER PHILLIPS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2019
|
261318820
|
2020-07-22
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2520 WHITE BEAR AVENUE, SUITE A, MAPLEWOOD, MN, 55109
|
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
CHRISTOPHER PHILLIPS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2018
|
261318820
|
2019-10-09
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2520 WHITE BEAR AVENUE, SUITE A, MAPLEWOOD, MN, 55109
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
CHRISTOPHER PHILLIPS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-09 |
Name of individual signing |
CHRISTOPHER PHILLIPS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2017
|
261318820
|
2018-07-30
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2520 WHITE BEAR AVENUE, SUITE A, MAPLEWOOD, MN, 55109
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2016
|
261318820
|
2017-07-30
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2520 WHITE BEAR AVENUE, SUITE A, MAPLEWOOD, MN, 55109
|
Signature of
Role |
Plan administrator |
Date |
2017-07-30 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-30 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2015
|
261318820
|
2016-07-14
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2520 WHITE BEAR AVENUE, SUITE A, MAPLEWOOD, MN, 55109
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-14 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2014
|
261318820
|
2015-07-21
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2599 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109
|
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-21 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2013
|
261318820
|
2014-07-28
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2599 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2012
|
261318820
|
2013-09-14
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2599 WHITE BEAR AVENUE, ST. PAUL, MN, 55109
|
Plan administrator’s name and address
Administrator’s EIN |
261318820 |
Plan administrator’s name |
MAPLEWOOD PODIATRY CLINIC, P.A. |
Plan administrator’s
address |
2599 WHITE BEAR AVENUE, ST. PAUL, MN, 55109 |
Administrator’s telephone number |
6517703891 |
Signature of
Role |
Plan administrator |
Date |
2013-09-14 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLEWOOD PODIATRY CLINIC, P.A. 401(K) PLAN
|
2011
|
261318820
|
2012-07-15
|
MAPLEWOOD PODIATRY CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621391
|
Sponsor’s telephone number |
6517703891
|
Plan sponsor’s
address |
2599 WHITE BEAR AVENUE, ST. PAUL, MN, 55109
|
Plan administrator’s name and address
Administrator’s EIN |
261318820 |
Plan administrator’s name |
MAPLEWOOD PODIATRY CLINIC, P.A. |
Plan administrator’s
address |
2599 WHITE BEAR AVENUE, ST. PAUL, MN, 55109 |
Administrator’s telephone number |
6517703891 |
Signature of
Role |
Plan administrator |
Date |
2012-07-15 |
Name of individual signing |
CARA SIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|