|
MOUNTAIN PINE DERMATOLOGY 401(K) PLAN
|
2023
|
811701258
|
2024-10-04
|
MOUNTAIN PINE DERMATOLOGY
|
53
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088987467
|
| Plan sponsor’s
address |
4664 N PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-04 |
| Name of individual signing |
RICHARD SCOTT THOMAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN PINE DERMATOLOGY 401(K) PLAN
|
2023
|
811701258
|
2024-07-29
|
MOUNTAIN PINE DERMATOLOGY
|
50
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088987467
|
| Plan sponsor’s
address |
4664 N PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-29 |
| Name of individual signing |
RICHARD SCOTT THOMAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN PINE DERMATOLOGY 401(K) PLAN
|
2022
|
811701258
|
2023-08-10
|
MOUNTAIN PINE DERMATOLOGY
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088987467
|
| Plan sponsor’s
address |
4664 N PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2023-08-10 |
| Name of individual signing |
RICHARD SCOTT THOMAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN PINE DERMATOLOGY 401(K) PLAN
|
2021
|
811701258
|
2022-07-20
|
MOUNTAIN PINE DERMATOLOGY
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088987467
|
| Plan sponsor’s
address |
4664 N PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-20 |
| Name of individual signing |
RICHARD SCOTT THOMAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN PINE DERMATOLOGY 401(K) PLAN
|
2020
|
811701258
|
2021-07-28
|
MOUNTAIN PINE DERMATOLOGY
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088987467
|
| Plan sponsor’s
address |
1576 W. DEER CREST ST STE 100, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-28 |
| Name of individual signing |
RICHARD SCOTT THOMAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN PINE DERMATOLOGY 401K PLAN
|
2019
|
811701258
|
2020-10-15
|
MOUNTAIN PINE DERMATOLOGY, PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088987467
|
| Plan sponsor’s
address |
1576 W. DEER CREST ST., SUITE 100, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-15 |
| Name of individual signing |
STEFANIE THOMAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN PINE DERMATOLOGY 401K
|
2018
|
811701258
|
2019-05-06
|
MOUNTAIN PINE DERMATOLOGY
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2088987467
|
| Plan sponsor’s
address |
1576 W. DEER CREST ST STE 100, MERIDIAN, ID, 83646
|
Signature of
| Role |
Plan administrator |
| Date |
2019-05-06 |
| Name of individual signing |
DR. RICHARD SCOTT THOMAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
