|
INTERMOUNTAIN ORTHOPAEDICS, P.A. PROFIT SHARING PLAN
|
2015
|
820444641
|
2016-09-01
|
INTERMOUNTAIN ORTHOPAEDICS, P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083830201
|
| Plan sponsor’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702
|
Plan administrator’s name and address
| Administrator’s EIN |
820444641 |
| Plan administrator’s name |
INTERMOUNTAIN ORTHOPAEDICS, P.A. |
| Plan administrator’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702 |
| Administrator’s telephone number |
2083830201 |
|
|
INTERMOUNTAIN ORTHOPAEDICS, P.A. PROFIT SHARING PLAN
|
2014
|
820444641
|
2015-10-14
|
INTERMOUNTAIN ORTHOPAEDICS, P.A.
|
18
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083830201
|
| Plan sponsor’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702
|
Plan administrator’s name and address
| Administrator’s EIN |
820444641 |
| Plan administrator’s name |
INTERMOUNTAIN ORTHOPAEDICS, P.A. |
| Plan administrator’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702 |
| Administrator’s telephone number |
2083830201 |
Signature of
| Role |
Plan administrator |
| Date |
2015-10-14 |
| Name of individual signing |
STEVEN ROSER MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERMOUNTAIN ORTHOPAEDICS, P.A. PROFIT SHARING PLAN
|
2014
|
820444641
|
2015-10-14
|
INTERMOUNTAIN ORTHOPAEDICS, P.A.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083830201
|
| Plan sponsor’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702
|
Plan administrator’s name and address
| Administrator’s EIN |
820444641 |
| Plan administrator’s name |
INTERMOUNTAIN ORTHOPAEDICS, P.A. |
| Plan administrator’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702 |
| Administrator’s telephone number |
2083830201 |
Signature of
| Role |
Plan administrator |
| Date |
2015-10-14 |
| Name of individual signing |
JIM LOVELESS MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERMOUNTAIN ORTHOPAEDICS, P.A. PROFIT SHARING PLAN
|
2013
|
820444641
|
2014-10-14
|
INTERMOUNTAIN ORTHOPAEDICS, P.A.
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083830201
|
| Plan sponsor’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702
|
Plan administrator’s name and address
| Administrator’s EIN |
820444641 |
| Plan administrator’s name |
INTERMOUNTAIN ORTHOPAEDICS, P.A. |
| Plan administrator’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702 |
| Administrator’s telephone number |
2083830201 |
Signature of
| Role |
Plan administrator |
| Date |
2014-10-14 |
| Name of individual signing |
JIM LOVELESS MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERMOUNTAIN ORTHOPAEDICS, P.A. PROFIT SHARING PLAN
|
2012
|
820444641
|
2013-10-14
|
INTERMOUNTAIN ORTHOPAEDICS, P.A.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083830201
|
| Plan sponsor’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702
|
Plan administrator’s name and address
| Administrator’s EIN |
820444641 |
| Plan administrator’s name |
INTERMOUNTAIN ORTHOPAEDICS, P.A. |
| Plan administrator’s
address |
600 N ROBBINS ROAD, SUITE 100, BOISE, ID, 83702 |
| Administrator’s telephone number |
2083830201 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-14 |
| Name of individual signing |
HOWARD KING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
