BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2018
|
450468119
|
2019-10-14
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2017
|
450468119
|
2018-10-08
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2016
|
450468119
|
2017-10-09
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Number of participants as of the end of the plan year
Active participants |
2 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2015
|
450468119
|
2016-10-12
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Number of participants as of the end of the plan year
Active participants |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2014
|
450468119
|
2015-10-15
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Number of participants as of the end of the plan year
Active participants |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2013
|
450468119
|
2014-07-31
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2012
|
450468119
|
2013-10-15
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Number of participants as of the end of the plan year
Active participants |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
BRIAN W. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
BRIAN W. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2011
|
450468119
|
2012-10-15
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan administrator’s name and address
Administrator’s EIN |
450468119 |
Plan administrator’s name |
BRIAN W. CHRISTENSEN, M.D., P.A. |
Plan administrator’s
address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440 |
Administrator’s telephone number |
2086569008 |
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
BRIAN W. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
BRIAN W. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2010
|
450468119
|
2011-10-12
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan administrator’s name and address
Administrator’s EIN |
450468119 |
Plan administrator’s name |
BRIAN W. CHRISTENSEN, M.D., P.A. |
Plan administrator’s
address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440 |
Administrator’s telephone number |
2086569008 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
BRIAN W. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
BRIAN W. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN
|
2009
|
450468119
|
2010-10-14
|
BRIAN W. CHRISTENSEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2086569008
|
Plan sponsor’s mailing address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan sponsor’s
address |
BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
|
Plan administrator’s name and address
Administrator’s EIN |
450468119 |
Plan administrator’s name |
BRIAN W. CHRISTENSEN, M.D., P.A. |
Plan administrator’s
address |
20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440 |
Administrator’s telephone number |
2086569008 |
Number of participants as of the end of the plan year
Active participants |
1 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
BRIAN W. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
BRIAN W. CHRISTENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|