EDINA RETINA CONSULTANTS, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
203644190
|
2014-09-19
|
EDINA RETINA CONSULTANTS, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVE S, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2014-09-19 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. CASH BALANCE PLAN
|
2013
|
203644190
|
2014-09-25
|
EDINA RETINA CONSULTANTS, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2014-09-25 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. CASH BALANCE PLAN
|
2013
|
203644190
|
2014-09-25
|
EDINA RETINA CONSULTANTS, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2014-09-25 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
203644190
|
2014-07-21
|
EDINA RETINA CONSULTANTS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVE S, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2014-07-21 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. CASH BALANCE PLAN
|
2012
|
203644190
|
2013-09-24
|
EDINA RETINA CONSULTANTS, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2013-09-24 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. CASH BALANCE PLAN
|
2011
|
203644190
|
2012-09-10
|
EDINA RETINA CONSULTANTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
203644190 |
Plan administrator’s name |
EDINA RETINA CONSULTANTS, P.A. |
Plan administrator’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435 |
Administrator’s telephone number |
9529260375 |
Signature of
Role |
Plan administrator |
Date |
2012-09-10 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
203644190
|
2012-07-09
|
EDINA RETINA CONSULTANTS, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVE S, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
203644190 |
Plan administrator’s name |
EDINA RETINA CONSULTANTS, P.A. |
Plan administrator’s
address |
6525 FRANCE AVE S, EDINA, MN, 55435 |
Administrator’s telephone number |
9529260375 |
Signature of
Role |
Plan administrator |
Date |
2012-07-09 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
203644190
|
2011-07-19
|
EDINA RETINA CONSULTANTS, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVE S, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
203644190 |
Plan administrator’s name |
EDINA RETINA CONSULTANTS, P.A. |
Plan administrator’s
address |
6525 FRANCE AVE S, EDINA, MN, 55435 |
Administrator’s telephone number |
9529260375 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. CASH BALANCE PLAN
|
2010
|
203644190
|
2011-07-19
|
EDINA RETINA CONSULTANTS, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
203644190 |
Plan administrator’s name |
EDINA RETINA CONSULTANTS, P.A. |
Plan administrator’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435 |
Administrator’s telephone number |
9529260375 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA RETINA CONSULTANTS, P.A. CASH BALANCE PLAN
|
2009
|
203644190
|
2010-10-02
|
EDINA RETINA CONSULTANTS, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9529260375
|
Plan sponsor’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
203644190 |
Plan administrator’s name |
EDINA RETINA CONSULTANTS, P.A. |
Plan administrator’s
address |
6525 FRANCE AVENUE SOUTH, EDINA, MN, 55435 |
Administrator’s telephone number |
9529260375 |
Signature of
Role |
Plan administrator |
Date |
2010-10-02 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-02 |
Name of individual signing |
RICHARD JOHNSTON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|