|
HAYDEN LAKE FAMILY PHYSICIANS 401(K) PLAN
|
2022
|
820454596
|
2023-04-25
|
HAYDEN LAKE FAMILY PHYSICIANS
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2087720785
|
| Plan sponsor’s
address |
8181 CORNERSTONE DRIVE, HAYDEN LAKE, ID, 83835
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-25 |
| Name of individual signing |
MARK BORSHEIM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HAYDEN LAKE FAMILY PHYSICIANS 401(K) PLAN
|
2021
|
820454596
|
2022-09-15
|
HAYDEN LAKE FAMILY PHYSICIANS
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2087720785
|
| Plan sponsor’s
address |
8181 CORNERSTONE DRIVE, HAYDEN LAKE, ID, 83835
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-15 |
| Name of individual signing |
MARK BORSHEIM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HAYDEN LAKE FAMILY PHYSICIANS 401(K) PLAN
|
2020
|
820454596
|
2021-08-18
|
HAYDEN LAKE FAMILY PHYSICIANS
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2087720785
|
| Plan sponsor’s
address |
8181 CORNERSTONE DRIVE, HAYDEN LAKE, ID, 83835
|
|
|
HAYDEN LAKE FAMILY PHYSICIANS 401(K) PLAN
|
2019
|
820454596
|
2020-05-27
|
HAYDEN LAKE FAMILY PHYSICIANS
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2087720785
|
| Plan sponsor’s
address |
8181 CORNERSTONE DRIVE, HAYDEN LAKE, ID, 83835
|
|
|
HAYDEN LAKE FAMILY PHYSICIANS 401(K) PLAN
|
2018
|
820454596
|
2019-04-01
|
HAYDEN LAKE FAMILY PHYSICIANS
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2087720785
|
| Plan sponsor’s
address |
8181 CORNERSTONE DRIVE, HAYDEN LAKE, ID, 83835
|
|
|
HAYDEN LAKE FAMILY PHYSICIANS 401(K) PLAN
|
2017
|
820454596
|
2018-04-13
|
HAYDEN LAKE FAMILY PHYSICIANS
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2087720785
|
| Plan sponsor’s
address |
8181 CORNERSTONE DRIVE, HAYDEN LAKE, ID, 83835
|
|
