PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2023
|
721528517
|
2024-03-26
|
PIONEER FAMILY MEDICINE, PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
4740 N. PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
Role |
Plan administrator |
Date |
2024-03-26 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-03-26 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2022
|
721528517
|
2023-04-06
|
PIONEER FAMILY MEDICINE, PLLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
4740 N. PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
Role |
Plan administrator |
Date |
2023-04-06 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-06 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2021
|
721528517
|
2022-03-07
|
PIONEER FAMILY MEDICINE, PLLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
4740 N. PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
Role |
Plan administrator |
Date |
2022-03-05 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-03-05 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2020
|
721528517
|
2021-03-02
|
PIONEER FAMILY MEDICINE, PLLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
4740 N. PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
Role |
Plan administrator |
Date |
2021-03-02 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-02 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2019
|
721528517
|
2020-03-12
|
PIONEER FAMILY MEDICINE, PLLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
4740 N. PENNGROVE WAY, SUITE 100, MERIDIAN, ID, 83646
|
Signature of
Role |
Plan administrator |
Date |
2020-03-12 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-12 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2018
|
721528517
|
2019-02-21
|
PIONEER FAMILY MEDICINE, PLLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
13150 W. PERSIMMON LANE, BOISE, ID, 83713
|
Signature of
Role |
Plan administrator |
Date |
2019-02-21 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-21 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2017
|
721528517
|
2018-02-26
|
PIONEER FAMILY MEDICINE, PLLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
13150 W. PERSIMMON LANE, BOISE, ID, 83713
|
Signature of
Role |
Plan administrator |
Date |
2018-02-24 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-02-24 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2016
|
721528517
|
2017-02-17
|
PIONEER FAMILY MEDICINE, PLLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
13150 W. PERSIMMON LANE, BOISE, ID, 83713
|
Signature of
Role |
Plan administrator |
Date |
2017-02-17 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-17 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2015
|
721528517
|
2016-02-12
|
PIONEER FAMILY MEDICINE, PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
13150 W. PERSIMMON LANE, BOISE, ID, 83713
|
Signature of
Role |
Plan administrator |
Date |
2016-02-12 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-12 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIONEER FAMILY MEDICINE RETIREMENT PLAN
|
2014
|
721528517
|
2015-03-26
|
PIONEER FAMILY MEDICINE, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2089383663
|
Plan sponsor’s
address |
13150 W. PERSIMMON LANE, BOISE, ID, 83713
|
Signature of
Role |
Plan administrator |
Date |
2015-03-25 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-25 |
Name of individual signing |
JASON LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|