R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2021
|
411412109
|
2022-10-03
|
R. C. SHEFLAND ANESTHESIA, LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9527976021
|
Plan sponsor’s
address |
2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN, 56649
|
Signature of
Role |
Plan administrator |
Date |
2022-10-03 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-03 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2021
|
411412109
|
2022-06-30
|
R. C. SHEFLAND ANESTHESIA, LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9527976021
|
Plan sponsor’s
address |
2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN, 56649
|
Signature of
Role |
Plan administrator |
Date |
2022-06-30 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-30 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2020
|
411412109
|
2021-07-26
|
R. C. SHEFLAND ANESTHESIA, LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9527976021
|
Plan sponsor’s
address |
2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN, 56649
|
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-26 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2019
|
411412109
|
2020-10-12
|
R. C. SHEFLAND ANESTHESIA, LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9527976021
|
Plan sponsor’s
address |
2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN, 56649
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2018
|
411412109
|
2019-09-10
|
R. C. SHEFLAND ANESTHESIA, LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187516405
|
Plan sponsor’s
address |
27040 COUNTY RD 9, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2019-09-10 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-10 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2017
|
411412109
|
2018-07-30
|
R. C. SHEFLAND ANESTHESIA, LTD
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187516405
|
Plan sponsor’s
address |
27040 COUNTY RD 9, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2016
|
411412109
|
2017-07-24
|
R. C. SHEFLAND ANESTHESIA, LTD
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187516405
|
Plan sponsor’s
address |
27040 COUNTY RD 9, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2017-07-24 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-24 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2015
|
411412109
|
2016-07-18
|
R. C. SHEFLAND ANESTHESIA, LTD
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187516405
|
Plan sponsor’s
address |
27040 COUNTY RD 9, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-18 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2014
|
411412109
|
2015-07-15
|
R. C. SHEFLAND ANESTHESIA, LTD
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187516405
|
Plan sponsor’s
address |
27040 COUNTY RD 9, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-15 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R. C. SHEFLAND ANESTHESIA 401(K) PLAN
|
2013
|
411412109
|
2014-07-25
|
R. C. SHEFLAND ANESTHESIA, LTD
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2187516405
|
Plan sponsor’s
address |
27040 COUNTY RD 9, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2014-07-25 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-25 |
Name of individual signing |
COURTNEY SCHAEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|