SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN
|
2023
|
820369780
|
2024-09-03
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 833013250
|
Signature of
Role |
Plan administrator |
Date |
2024-09-03 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN
|
2022
|
820369780
|
2023-09-23
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 833013250
|
Signature of
Role |
Plan administrator |
Date |
2023-09-23 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN
|
2021
|
820369780
|
2022-06-23
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 833013250
|
Signature of
Role |
Plan administrator |
Date |
2022-06-23 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN
|
2021
|
820369780
|
2023-09-21
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 833013250
|
Signature of
Role |
Plan administrator |
Date |
2023-09-21 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN
|
2020
|
820369780
|
2021-09-27
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 833013250
|
Signature of
Role |
Plan administrator |
Date |
2021-09-27 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN
|
2019
|
820369780
|
2020-08-13
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 833013250
|
Signature of
Role |
Plan administrator |
Date |
2020-08-13 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN
|
2018
|
820369780
|
2019-04-01
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2019-04-01 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN
|
2017
|
820369780
|
2018-05-21
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
8
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2018-05-21 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN
|
2017
|
820369780
|
2019-04-01
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2019-04-01 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN
|
2016
|
820369780
|
2017-05-12
|
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087348934
|
Plan sponsor’s
address |
1415 PARK VIEW DR., TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2017-05-12 |
Name of individual signing |
JAMES M. COOMBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|