|
UPPER VALLEY ORTHOPEDICS, PLLC, PROFIT SHARING PLAN
|
2023
|
820505476
|
2024-10-15
|
UPPER VALLEY ORTHOPEDICS, PLLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083569550
|
| Plan sponsor’s
address |
360 E. MAIN STREET, REXBURG, ID, 83440
|
|
|
UPPER VALLEY ORTHOPEDICS, PLLC, PROFIT SHARING PLAN
|
2022
|
820505476
|
2023-10-16
|
UPPER VALLEY ORTHOPEDICS, PLLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083569550
|
| Plan sponsor’s
address |
360 E. MAIN STREET, REXBURG, ID, 83440
|
|
|
UPPER VALLEY ORTHOPEDICS, PLLC PROFIT SHARING PLAN
|
2011
|
820505476
|
2012-10-15
|
UPPER VALLEY ORTHOPEDICS, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083569550
|
| Plan sponsor’s
address |
360 EAST MAIN STREET, REXBURG, ID, 83440
|
Plan administrator’s name and address
| Administrator’s EIN |
820505476 |
| Plan administrator’s name |
UPPER VALLEY ORTHOPEDICS, PLLC |
| Plan administrator’s
address |
360 EAST MAIN STREET, REXBURG, ID, 83440 |
| Administrator’s telephone number |
2083569550 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-15 |
| Name of individual signing |
MICHAEL J. LARSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-15 |
| Name of individual signing |
MICHAEL J. LARSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UPPER VALLEY ORTHOPEDICS, PLLC PROFIT SHARING PLAN
|
2010
|
820505476
|
2011-10-12
|
UPPER VALLEY ORTHOPEDICS, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083569550
|
| Plan sponsor’s
address |
360 EAST MAIN STREET, REXBURG, ID, 83440
|
Plan administrator’s name and address
| Administrator’s EIN |
820505476 |
| Plan administrator’s name |
UPPER VALLEY ORTHOPEDICS, PLLC |
| Plan administrator’s
address |
360 EAST MAIN STREET, REXBURG, ID, 83440 |
| Administrator’s telephone number |
2083569550 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-12 |
| Name of individual signing |
MICHAEL J. LARSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-12 |
| Name of individual signing |
MICHAEL J. LARSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UPPER VALLEY ORTHOPEDICS, PLLC PROFIT SHARING PLAN
|
2009
|
820505476
|
2010-07-20
|
UPPER VALLEY ORTHOPEDICS, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083569550
|
| Plan sponsor’s
address |
360 EAST MAIN STREET, REXBURG, ID, 83440
|
Plan administrator’s name and address
| Administrator’s EIN |
820505476 |
| Plan administrator’s name |
UPPER VALLEY ORTHOPEDICS, PLLC |
| Plan administrator’s
address |
360 EAST MAIN STREET, REXBURG, ID, 83440 |
| Administrator’s telephone number |
2083569550 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-20 |
| Name of individual signing |
MICHAEL J. LARSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-20 |
| Name of individual signing |
MICHAEL J. LARSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
