|
OBESITY MEDICINE SPECIALISTS OF IDAHO 401(K) PLAN
|
2023
|
830737742
|
2024-07-22
|
OBESITY MEDICINE SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083433652
|
| Plan sponsor’s
address |
3875 E OVERLAND RD STE 204, MERIDIAN, ID, 83642
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-22 |
| Name of individual signing |
MICHELLE FRESHWATER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OBESITY MEDICINE SPECIALISTS OF IDAHO 401(K) PLAN
|
2022
|
830737742
|
2023-04-10
|
OBESITY MEDICINE SPECIALISTS OF IDAHO, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083433652
|
| Plan sponsor’s
address |
3875 W. OVERLAND RD., SUITE 204, MERIDIAN, ID, 83642
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-10 |
| Name of individual signing |
MICHELLE FRESHWATER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OBESITY MEDICINE SPECIALISTS OF IDAHO 401(K) PLAN
|
2021
|
830737742
|
2022-07-25
|
OBESITY MEDICINE SPECIALISTS OF IDAHO, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083433652
|
| Plan sponsor’s
address |
801 N. STILSON RD, BOISE, ID, 83703
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-25 |
| Name of individual signing |
MICHELLE FRESHWATER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OBESITY MEDICINE SPECIALISTS OF IDAHO 401(K) PLAN
|
2020
|
830737742
|
2021-03-25
|
OBESITY MEDICINE SPECIALISTS OF IDAHO, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083433652
|
| Plan sponsor’s
address |
801 N. STILSON RD, BOISE, ID, 83703
|
Signature of
| Role |
Plan administrator |
| Date |
2021-03-25 |
| Name of individual signing |
MICHELLE FRESHWATER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OBESITY MEDICINE SPECIALISTS OF IDAHO 401(K) PLAN
|
2019
|
830737742
|
2020-05-14
|
OBESITY MEDICINE SPECIALISTS OF IDAHO, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083433652
|
| Plan sponsor’s
address |
801 N. STILSON RD, BOISE, ID, 83703
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-14 |
| Name of individual signing |
MICHELLE FRESHWATER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
