AUSTIN AND TREACY, P.A. PROFIT SHARING PLAN
|
2013
|
411360011
|
2014-02-06
|
AUSTIN AND TREACY, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, 324 WEST SUPERIOR STREET, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2014-02-06 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-06 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN AND TREACY, P.A. CASH BALANCE PLAN
|
2013
|
411360011
|
2014-02-06
|
AUSTIN AND TREACY, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, 324 WEST SUPERIOR STREET, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2014-02-06 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-06 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN AND TREACY, P.A. PROFIT SHARING PLAN
|
2012
|
411360011
|
2013-05-06
|
AUSTIN AND TREACY, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, 324 WEST SUPERIOR STREET, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2013-05-06 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-06 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN AND TREACY, P.A. CASH BALANCE PLAN
|
2012
|
411360011
|
2013-05-06
|
AUSTIN AND TREACY, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, 324 WEST SUPERIOR STREET, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2013-05-06 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-06 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN AND TREACY, P.A. CASH BALANCE PLAN
|
2011
|
411360011
|
2012-04-26
|
AUSTIN AND TREACY, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802
|
Plan administrator’s name and address
Administrator’s EIN |
411360011 |
Plan administrator’s name |
AUSTIN AND TREACY, P.A. |
Plan administrator’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802 |
Administrator’s telephone number |
2187226655 |
Signature of
Role |
Plan administrator |
Date |
2012-04-26 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-26 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN AND TREACY, P.A. PROFIT SHARING PLAN
|
2011
|
411360011
|
2012-04-26
|
AUSTIN AND TREACY, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802
|
Plan administrator’s name and address
Administrator’s EIN |
411360011 |
Plan administrator’s name |
AUSTIN AND TREACY, P.A. |
Plan administrator’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802 |
Administrator’s telephone number |
2187226655 |
Signature of
Role |
Plan administrator |
Date |
2012-04-26 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-26 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN AND TREACY, P.A. PROFIT SHARING PLAN
|
2010
|
411360011
|
2011-03-03
|
AUSTIN AND TREACY, P.A.
|
18
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802
|
Plan administrator’s name and address
Administrator’s EIN |
411360011 |
Plan administrator’s name |
AUSTIN AND TREACY, P.A. |
Plan administrator’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802 |
Administrator’s telephone number |
2187226655 |
Signature of
Role |
Plan administrator |
Date |
2011-03-03 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-03 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
AUSTIN AND TREACY, P.A. PROFIT SHARING PLAN
|
2010
|
411360011
|
2011-03-03
|
AUSTIN AND TREACY, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802
|
Plan administrator’s name and address
Administrator’s EIN |
411360011 |
Plan administrator’s name |
AUSTIN AND TREACY, P.A. |
Plan administrator’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802 |
Administrator’s telephone number |
2187226655 |
Signature of
Role |
Plan administrator |
Date |
2011-03-03 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-03 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN AND TREACY, P.A. PROFIT SHARING PLAN
|
2010
|
411360011
|
2011-03-03
|
AUSTIN AND TREACY, P.A.
|
18
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802
|
Plan administrator’s name and address
Administrator’s EIN |
411360011 |
Plan administrator’s name |
AUSTIN AND TREACY, P.A. |
Plan administrator’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802 |
Administrator’s telephone number |
2187226655 |
Signature of
Role |
Plan administrator |
Date |
2011-03-03 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-03 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
AUSTIN AND TREACY, P.A. PROFIT SHARING PLAN
|
2010
|
411360011
|
2011-03-03
|
AUSTIN AND TREACY, P.A.
|
18
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2187226655
|
Plan sponsor’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802
|
Plan administrator’s name and address
Administrator’s EIN |
411360011 |
Plan administrator’s name |
AUSTIN AND TREACY, P.A. |
Plan administrator’s
address |
800 MEDICAL ARTS BUILDING, DULUTH, MN, 55802 |
Administrator’s telephone number |
2187226655 |
Signature of
Role |
Plan administrator |
Date |
2011-03-03 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-03 |
Name of individual signing |
KEVIN TREACY, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|