INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2022
|
820476152
|
2023-10-16
|
RMJ SAFARI, P.L.L.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
738 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
MELANIE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2021
|
820476152
|
2022-10-13
|
RMJ SAFARI, P.L.L.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
738 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
MELANIE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2021
|
820476152
|
2022-10-12
|
RMJ SAFARI, P.L.L.C.
|
3
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
738 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Employer/plan sponsor |
Date |
2022-10-06 |
Name of individual signing |
MELANIE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2020
|
820476152
|
2021-10-14
|
RMJ SAFARI, P.L.L.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
738 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
MELANIE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
MELANIE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2019
|
820476152
|
2020-10-14
|
RMJ SAFARI, P.L.L.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
738 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
JAMES M RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2018
|
820476152
|
2019-10-09
|
RMJ SAFARI, P.L.L.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
714 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
JAMES M RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-09 |
Name of individual signing |
JAMES M RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2017
|
820476152
|
2018-10-12
|
RMJ SAFARI, P.L.L.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
714 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
JAMES M. RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-12 |
Name of individual signing |
JAMES M RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2016
|
820476152
|
2017-10-13
|
RMJ SAFARI, P.L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
738 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
JAMES M. RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
WILLIAM F. MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2015
|
820476152
|
2016-10-05
|
RMJ SAFARI, P.L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
738 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2016-10-05 |
Name of individual signing |
JAMES M. RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-05 |
Name of individual signing |
WILLIAM F. MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC PROFIT SHARING PLAN
|
2014
|
820476152
|
2015-07-30
|
RMJ SAFARI, P.L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2087347291
|
Plan
sponsor’s DBA name |
INTERMOUNTAIN ORTHOPAEDIC CLINIC, PLLC
|
Plan sponsor’s
address |
738 NORTH COLLEGE ROAD, SUITE A, TWIN FALLS, ID, 83301
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
JAMES M. RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-30 |
Name of individual signing |
JAMES M. RETMIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|