INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2018
|
411950621
|
2019-04-30
|
INCISIVE SURGICAL, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Signature of
Role |
Plan administrator |
Date |
2019-04-30 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2018
|
411950621
|
2019-05-09
|
INCISIVE SURGICAL, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Signature of
Role |
Plan administrator |
Date |
2019-05-09 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2017
|
411950621
|
2018-07-26
|
INCISIVE SURGICAL, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2016
|
411950621
|
2017-10-10
|
INCISIVE SURGICAL, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2015
|
411950621
|
2016-09-30
|
INCISIVE SURGICAL, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVENUE N, SUITE 130, PLYMOUTH, MN, 554474638
|
Signature of
Role |
Plan administrator |
Date |
2016-09-30 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2014
|
411950621
|
2016-10-12
|
INCISIVE SURGICAL, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2013
|
411950621
|
2014-10-10
|
INCISIVE SURGICAL, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Plan administrator’s name and address
Administrator’s EIN |
411950621 |
Plan administrator’s name |
INCISIVE SURGICAL, INC. |
Plan administrator’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638 |
Administrator’s telephone number |
9525912543 |
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2012
|
411950621
|
2013-10-15
|
INCISIVE SURGICAL, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Plan administrator’s name and address
Administrator’s EIN |
411950621 |
Plan administrator’s name |
INCISIVE SURGICAL, INC. |
Plan administrator’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638 |
Administrator’s telephone number |
9525912543 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2011
|
411950621
|
2012-04-19
|
INCISIVE SURGICAL, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Plan administrator’s name and address
Administrator’s EIN |
411950621 |
Plan administrator’s name |
INCISIVE SURGICAL, INC. |
Plan administrator’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638 |
Administrator’s telephone number |
9525912543 |
Signature of
Role |
Plan administrator |
Date |
2012-04-19 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-19 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INCISIVE SURGICAL, INC. 401(K) P/S PLAN
|
2010
|
411950621
|
2012-02-02
|
INCISIVE SURGICAL, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9525912543
|
Plan sponsor’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638
|
Plan administrator’s name and address
Administrator’s EIN |
411950621 |
Plan administrator’s name |
INCISIVE SURGICAL, INC. |
Plan administrator’s
address |
14405 21ST AVE N STE 130, PLYMOUTH, MN, 554474638 |
Administrator’s telephone number |
9525912543 |
Signature of
Role |
Plan administrator |
Date |
2012-02-02 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-02 |
Name of individual signing |
RONALD MCCLURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|