|
TREASURE VALLEY FAMILY MEDICINE 401(K) PLAN
|
2023
|
465672420
|
2024-05-09
|
TREASURE VALLEY FAMILY MEDICINE
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088950050
|
| Plan sponsor’s
address |
2428 N. STOKESBERRY PL, TREASURE VALLEY FAMILY MEDICINE, MERIDIAN, ID, 83646
|
Plan administrator’s name and address
| Administrator’s EIN |
842925395 |
| Plan administrator’s name |
401GO, INC. |
| Plan administrator’s
address |
8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2024-05-09 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TREASURE VALLEY FAMILY MEDICINE 401(K) PLAN
|
2022
|
465672420
|
2023-07-28
|
TREASURE VALLEY FAMILY MEDICINE
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088950050
|
| Plan sponsor’s
address |
2428 N. STOKESBERRY PL, TREASURE VALLEY FAMILY MEDICINE, MERIDIAN, ID, 83646
|
Plan administrator’s name and address
| Administrator’s EIN |
842925395 |
| Plan administrator’s name |
401GO, INC. |
| Plan administrator’s
address |
8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-17 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TREASURE VALLEY FAMILY MEDICINE 401(K) PLAN
|
2021
|
465672420
|
2022-07-31
|
TREASURE VALLEY FAMILY MEDICINE
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088950050
|
| Plan sponsor’s
address |
2428 N. STOKESBERRY PL, TREASURE VALLEY FAMILY MEDICINE, MERIDIAN, ID, 83646
|
Plan administrator’s name and address
| Administrator’s EIN |
842925395 |
| Plan administrator’s name |
401GO, INC. |
| Plan administrator’s
address |
8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-26 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TREASURE VALLEY FAMILY MEDICINE 401(K) PLAN
|
2020
|
465672420
|
2021-07-30
|
TREASURE VALLEY FAMILY MEDICINE
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088950050
|
| Plan sponsor’s
address |
2428 N. STOKESBERRY PL, TREASURE VALLEY FAMILY MEDICINE, MERIDIAN, ID, 83646
|
Plan administrator’s name and address
| Administrator’s EIN |
842925395 |
| Plan administrator’s name |
401GO, INC. |
| Plan administrator’s
address |
8427 OLD BINGHAM HIGHWAY, SUITE A, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-29 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TREASURE VALLEY FAMILY MEDICINE 401(K) PLAN
|
2019
|
465672420
|
2020-07-31
|
TREASURE VALLEY FAMILY MEDICINE, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088950050
|
| Plan sponsor’s
address |
2428 N STOKESBERRY PL, MERIDIAN, ID, 836465035
|
Plan administrator’s name and address
| Administrator’s EIN |
842925395 |
| Plan administrator’s name |
401GO |
| Plan administrator’s
address |
8427 S OLD BINGHAM HWY, WEST JORDAN, UT, 840885277 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-31 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
