PHOENIX PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN
|
2016
|
411952390
|
2017-06-08
|
PHOENIX PHYSICAL THERAPY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DRIVE, SUITE 113, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2017-06-08 |
Name of individual signing |
DORI C. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-08 |
Name of individual signing |
DORI C. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN
|
2015
|
411952390
|
2016-07-14
|
PHOENIX PHYSICAL THERAPY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
DORI C BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-13 |
Name of individual signing |
DORI C. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN
|
2014
|
411952390
|
2015-07-22
|
PHOENIX PHYSICAL THERAPY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN
|
2013
|
411952390
|
2014-10-15
|
PHOENIX PHYSICAL THERAPY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. 401K PROFIT SHARING PLAN
|
2012
|
411952390
|
2013-06-03
|
PHOENIX PHYSICAL THERAPY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-03 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. 401K PROFIT SHARING PLAN
|
2011
|
411952390
|
2012-05-07
|
PHOENIX PHYSICAL THERAPY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Plan administrator’s name and address
Administrator’s EIN |
411952390 |
Plan administrator’s name |
PHOENIX PHYSICAL THERAPY, INC. |
Plan administrator’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306 |
Administrator’s telephone number |
9528082222 |
Signature of
Role |
Plan administrator |
Date |
2012-05-07 |
Name of individual signing |
DORI C BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-07 |
Name of individual signing |
DORI C BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. 401K PROFIT SHARING PLAN
|
2010
|
411952390
|
2011-06-14
|
PHOENIX PHYSICAL THERAPY, INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Plan administrator’s name and address
Administrator’s EIN |
411952390 |
Plan administrator’s name |
PHOENIX PHYSICAL THERAPY, INC. |
Plan administrator’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306 |
Administrator’s telephone number |
9528082222 |
Signature of
Role |
Plan administrator |
Date |
2011-06-14 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-14 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. 401K PROFIT SHARING PLAN
|
2010
|
411952390
|
2011-07-21
|
PHOENIX PHYSICAL THERAPY, INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Plan administrator’s name and address
Administrator’s EIN |
411952390 |
Plan administrator’s name |
PHOENIX PHYSICAL THERAPY, INC. |
Plan administrator’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306 |
Administrator’s telephone number |
9528082222 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. 401K PROFIT SHARING PLAN
|
2010
|
411952390
|
2011-07-21
|
PHOENIX PHYSICAL THERAPY, INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Plan administrator’s name and address
Administrator’s EIN |
411952390 |
Plan administrator’s name |
PHOENIX PHYSICAL THERAPY, INC. |
Plan administrator’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306 |
Administrator’s telephone number |
9528082222 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PHOENIX PHYSICAL THERAPY, INC. 401K PROFIT SHARING PLAN
|
2010
|
411952390
|
2011-07-21
|
PHOENIX PHYSICAL THERAPY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-31
|
Business code |
621340
|
Sponsor’s telephone number |
9528082222
|
Plan sponsor’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306
|
Plan administrator’s name and address
Administrator’s EIN |
411952390 |
Plan administrator’s name |
PHOENIX PHYSICAL THERAPY, INC. |
Plan administrator’s
address |
3200 CORPORATE CENTER DR., STE. 113, BURNSVILLE, MN, 55306 |
Administrator’s telephone number |
9528082222 |
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-21 |
Name of individual signing |
DORI BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|