EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2018
|
410947717
|
2019-04-23
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. S. #100, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2019-04-22 |
Name of individual signing |
JEFF STEPHENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-22 |
Name of individual signing |
JEFF STEPHENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2017
|
410947717
|
2018-10-09
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. S. #100, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
KIRT MEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-09 |
Name of individual signing |
KIRT MEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2016
|
410947717
|
2017-07-28
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. S. #100, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
KIRT MEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
KIRT MEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2015
|
410947717
|
2016-06-29
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. S. #100, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2016-06-28 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-28 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2014
|
410947717
|
2015-07-30
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. S. #100, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-30 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2013
|
410947717
|
2014-07-29
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. SO., SUITE 100, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2012
|
410947717
|
2013-06-19
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. SO., SUITE 100, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2013-06-18 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-18 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2011
|
410947717
|
2012-04-17
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. SO., SUITE 100, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
410947717 |
Plan administrator’s name |
EDINA EYE PHYSICIANS & SURGEONS, P.A. |
Plan administrator’s
address |
7450 FRANCE AVE. SO., SUITE 100, EDINA, MN, 55435 |
Administrator’s telephone number |
9528328179 |
Signature of
Role |
Plan administrator |
Date |
2012-04-17 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-17 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDINA EYE PHYSICIANS & SURGEONS, P.A. PROFIT SHARING AND SAVINGS PLAN
|
2010
|
410947717
|
2011-06-16
|
EDINA EYE PHYSICIANS & SURGEONS, P.A.
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9528328179
|
Plan sponsor’s
address |
7450 FRANCE AVE. SO., SUITE 100, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
410947717 |
Plan administrator’s name |
EDINA EYE PHYSICIANS & SURGEONS, P.A. |
Plan administrator’s
address |
7450 FRANCE AVE. SO., SUITE 100, EDINA, MN, 55435 |
Administrator’s telephone number |
9528328179 |
Signature of
Role |
Plan administrator |
Date |
2011-06-16 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-16 |
Name of individual signing |
CARTER NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|