|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC CASH BALANCE PLAN AND TRUST
|
2020
|
461131395
|
2021-07-25
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-25 |
| Name of individual signing |
MICHAEL SHEVLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC 401(K) PLAN
|
2020
|
461131395
|
2021-07-25
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2013-01-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-25 |
| Name of individual signing |
MICHAEL SHEVLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC CASH BALANCE PLAN AND TRUST
|
2019
|
461131395
|
2020-10-06
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-06 |
| Name of individual signing |
MICHAEL SHEVLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC 401(K) PLAN
|
2019
|
461131395
|
2020-10-06
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2013-01-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-06 |
| Name of individual signing |
MICHAEL SHEVLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC CASH BALANCE PLAN AND TRUST
|
2018
|
461131395
|
2019-10-12
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-12 |
| Name of individual signing |
MICHAEL SHEVLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC 401(K) PLAN
|
2018
|
461131395
|
2019-10-12
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2013-01-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-12 |
| Name of individual signing |
MICHAEL SHEVLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC CASH BALANCE PLAN AND TRUST
|
2017
|
461131395
|
2018-06-05
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-05 |
| Name of individual signing |
KEITH HOLLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC 401(K) PLAN
|
2017
|
461131395
|
2018-06-05
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2013-01-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-05 |
| Name of individual signing |
KEITH HOLLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC CASH BALANCE PLAN AND TRUST
|
2016
|
461131395
|
2017-10-11
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2017-10-11 |
| Name of individual signing |
KEITH HOLLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC 401(K) PLAN
|
2016
|
461131395
|
2017-06-16
|
ORTHOPAEDIC SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2013-01-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083755150
|
| Plan sponsor’s
address |
101 S. CAPITOL BLVD, 10TH FLOOR, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-16 |
| Name of individual signing |
KEITH HOLLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
