THE SPINE CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
204134117
|
2018-05-08
|
CYBERDYNE SYSTEMS, LLC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2085526210
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
3345 POTOMAC DRIVE, IDAHO FALLS, ID, 83404
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
3345 POTOMAC DRIVE, IDAHO FALLS, ID, 83404 |
Administrator’s telephone number |
2085526210 |
Signature of
Role |
Plan administrator |
Date |
2018-05-08 |
Name of individual signing |
CLARK ALLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SPINE CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
204134117
|
2017-05-16
|
CYBERDYNE SYSTEMS, LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2082338344
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
3345 POTOMAC DRIVE, IDAHO FALLS, ID, 83404
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
3345 POTOMAC DRIVE, IDAHO FALLS, ID, 83404 |
Administrator’s telephone number |
2082338344 |
Signature of
Role |
Plan administrator |
Date |
2017-05-16 |
Name of individual signing |
CLARK ALLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SPINE CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
204134117
|
2016-09-19
|
CYBERDYNE SYSTEMS, LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2082338344
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
3345 POTOMAC DRIVE, IDAHO FALLS, ID, 83404
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
3345 POTOMAC DRIVE, IDAHO FALLS, ID, 83404 |
Administrator’s telephone number |
2082338344 |
Signature of
Role |
Plan administrator |
Date |
2016-09-19 |
Name of individual signing |
CLARK ALLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SPINE CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
204134117
|
2015-05-12
|
CYBERDYNE SYSTEMS, LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2082338344
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
2240 EAST CENTER STREET, POCATELLO, ID, 83201
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
2240 EAST CENTER STREET, POCATELLO, ID, 83201 |
Administrator’s telephone number |
2082338344 |
Signature of
Role |
Plan administrator |
Date |
2015-05-12 |
Name of individual signing |
AMY PARSLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SPINE CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
204134117
|
2014-06-30
|
CYBERDYNE SYSTEMS, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2082338344
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
2240 EAST CENTER STREET, POCATELLO, ID, 83201
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
2240 EAST CENTER STREET, POCATELLO, ID, 83201 |
Administrator’s telephone number |
2082338344 |
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
AMY PARSLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SPINE CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
204134117
|
2013-10-15
|
CYBERDYNE SYSTEMS, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2082338344
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
444 HOSPITAL WAY STE 477, POCATELLO, ID, 83201
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
444 HOSPTIAL WAY STE 477, POCATELLO, ID, 83201 |
Administrator’s telephone number |
2082338344 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
AMY PARSLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SPINE CENTER, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
204134117
|
2012-09-13
|
CYBERDYNE SYSTEMS, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2082338344
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
444 HOSPITAL WAY STE 477, POCATELLO, ID, 83201
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
444 HOSPTIAL WAY STE 477, POCATELLO, ID, 83201 |
Administrator’s telephone number |
2082338344 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
AMY PARSLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SPINE CENTER, P.A. 401(K PROFIT SHARING PLAN
|
2010
|
204134117
|
2011-09-28
|
CYBERDYNE SYSTEMS, LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2082338344
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
285 VISTA DRIVE, POCATELLO, ID, 83201
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
285 VISTA DRIVE, POCATELLO, ID, 83201 |
Administrator’s telephone number |
2082338344 |
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
AMY PARSLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-28 |
Name of individual signing |
AMY PARSLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SPINE CENTER, P.A. 401(K PROFIT SHARING PLAN
|
2009
|
204134117
|
2010-10-15
|
CYBERDYNE SYSTEMS, LLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2082338344
|
Plan
sponsor’s DBA name |
THE SPINE CENTER, P.A.
|
Plan sponsor’s
address |
285 VISTA DRIVE, POCATELLO, ID, 83201
|
Plan administrator’s name and address
Administrator’s EIN |
204134117 |
Plan administrator’s name |
CYBERDYNE SYSTEMS, LLC |
Plan administrator’s
address |
285 VISTA DRIVE, POCATELLO, ID, 83201 |
Administrator’s telephone number |
2082338344 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
AMY PARSLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
AMY PARSLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|