|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS P.A. SEC 401(K) PLAN AND TRUST
|
2012
|
411111167
|
2013-11-12
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A.
|
79
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529207001
|
| Plan sponsor’s
address |
3625 W. 65TH STREET, SUITE #100, EDINA, MN, 55435
|
Signature of
| Role |
Plan administrator |
| Date |
2013-11-12 |
| Name of individual signing |
DOROTHY JUNG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-11-12 |
| Name of individual signing |
DOROTHY JUNG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A. SEC. 401(K) PLAN AND TRUST
|
2012
|
411111167
|
2013-07-30
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A.
|
90
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529207001
|
| Plan sponsor’s
address |
3625 W. 65TH STREET, SUITE #100, EDINA, MN, 55435
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-30 |
| Name of individual signing |
DOROTHY JUNG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-30 |
| Name of individual signing |
DOROTHY JUNG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A. SEC. 401(K) PLAN AND TRUST
|
2011
|
411111167
|
2012-07-31
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A.
|
85
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529207001
|
| Plan sponsor’s
address |
3625 W. 65TH STREET, SUITE #100, EDINA, MN, 55435
|
Plan administrator’s name and address
| Administrator’s EIN |
411111167 |
| Plan administrator’s name |
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A. |
| Plan administrator’s
address |
3625 W. 65TH STREET, SUITE #100, EDINA, MN, 55435 |
| Administrator’s telephone number |
9529207001 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-31 |
| Name of individual signing |
DOROTHY JUNG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A. SEC. 401(K) PLAN AND TRUST
|
2010
|
411111167
|
2011-07-27
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A.
|
83
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529207001
|
| Plan sponsor’s
address |
3625 W. 65TH STREET, SUITE #100, EDINA, MN, 55435
|
Plan administrator’s name and address
| Administrator’s EIN |
411111167 |
| Plan administrator’s name |
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A. |
| Plan administrator’s
address |
3625 W. 65TH STREET, SUITE #100, EDINA, MN, 55435 |
| Administrator’s telephone number |
9529207001 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-27 |
| Name of individual signing |
DOROTHY JUNG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A. SEC. 401(K) PLAN AND TRUST
|
2009
|
411111167
|
2010-07-15
|
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A.
|
77
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9529207001
|
| Plan sponsor’s
address |
3625 W. 65TH STREET, SUITE #100, EDINA, MN, 55435
|
Plan administrator’s name and address
| Administrator’s EIN |
411111167 |
| Plan administrator’s name |
SOUTHDALE OBSTETRIC AND GYNECOLOGIC CONSULTANTS, P.A. |
| Plan administrator’s
address |
3625 W. 65TH STREET, SUITE #100, EDINA, MN, 55435 |
| Administrator’s telephone number |
9529207001 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-13 |
| Name of individual signing |
DOROTHY JUNG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
