CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2018
|
208476588
|
2019-09-17
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Signature of
Role |
Plan administrator |
Date |
2019-09-17 |
Name of individual signing |
JAMES A. OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2017
|
208476588
|
2018-10-09
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
JAMES A. OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2017
|
208476588
|
2019-09-17
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Signature of
Role |
Plan administrator |
Date |
2019-09-17 |
Name of individual signing |
JAMES A. OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2016
|
208476588
|
2017-10-03
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
JAMES A OLSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2015
|
208476588
|
2016-10-10
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Signature of
Role |
Plan administrator |
Date |
2016-10-10 |
Name of individual signing |
JAMES A OLSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2014
|
208476588
|
2015-10-08
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
JAMES A OLSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2013
|
208476588
|
2014-10-13
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
JAMES A OLSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2012
|
208476588
|
2013-09-06
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Signature of
Role |
Plan administrator |
Date |
2013-09-06 |
Name of individual signing |
JAMES A OLSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2011
|
208476588
|
2012-09-25
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Plan administrator’s name and address
Administrator’s EIN |
208476588 |
Plan administrator’s name |
CENTER FOR COLORECTAL CARE LLC |
Plan administrator’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702 |
Administrator’s telephone number |
2084240280 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
JAMES A OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTER FOR COLORECTAL CARE RETIREMENT PLAN
|
2010
|
208476588
|
2011-08-29
|
CENTER FOR COLORECTAL CARE LLC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2084240280
|
Plan sponsor’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702
|
Plan administrator’s name and address
Administrator’s EIN |
208476588 |
Plan administrator’s name |
CENTER FOR COLORECTAL CARE LLC |
Plan administrator’s
address |
333 N 1ST ST, STE 130, BOISE, ID, 83702 |
Administrator’s telephone number |
2084240280 |
Signature of
Role |
Plan administrator |
Date |
2011-08-29 |
Name of individual signing |
JAMES A OLSON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|