EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2019
|
202072667
|
2020-01-10
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Signature of
Role |
Plan administrator |
Date |
2020-01-10 |
Name of individual signing |
NICOLE LENAGHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2018
|
202072667
|
2019-10-10
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
NICOLE LENAGHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2017
|
202072667
|
2018-10-02
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Signature of
Role |
Plan administrator |
Date |
2018-10-02 |
Name of individual signing |
NICOLE LENAGHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2016
|
202072667
|
2017-09-20
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Signature of
Role |
Plan administrator |
Date |
2017-09-20 |
Name of individual signing |
NICOLE LENAGHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2015
|
202072667
|
2016-09-20
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Signature of
Role |
Plan administrator |
Date |
2016-09-20 |
Name of individual signing |
NICOLE LENAGHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2014
|
202072667
|
2015-09-28
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Signature of
Role |
Plan administrator |
Date |
2015-09-28 |
Name of individual signing |
NICOLE LENAGHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2013
|
202072667
|
2014-10-15
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
NICOLE LENAGHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2012
|
202072667
|
2013-10-14
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
NICOLE LENAGHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS CENTER 401(K) PLAN
|
2011
|
202072667
|
2012-10-11
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-09
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577
|
Plan administrator’s name and address
Administrator’s EIN |
202072667 |
Plan administrator’s name |
EAGLE RIVER PAIN & WELLNESS, LLC |
Plan administrator’s
address |
16425 BROOKS LOOP, EAGLE RIVER, AK, 99577 |
Administrator’s telephone number |
9076224673 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
JESSICA SPAYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAGLE RIVER PAIN & WELLNESS, LLC
|
2009
|
202072667
|
2010-09-01
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-17
|
Sponsor |
EAGLE RIVER PAIN & WELLNESS, LLC
|
Business code |
621111
|
Sponsor’s telephone number |
9076224673
|
Plan sponsor’s
address |
11120 CHUGIAK DR, EAGLE RIVER, AK, 995778028
|
Plan administrator’s name and address
Administrator’s EIN |
202072667 |
Plan administrator’s name |
EAGLE RIVER PAIN & WELLNESS, LLC |
Plan administrator’s
address |
11120 CHUGIAK DR, EAGLE RIVER, AK, 995778028 |
Administrator’s telephone number |
9076224673 |
Signature of
Role |
Plan administrator |
Date |
2010-09-01 |
Name of individual signing |
JESSICA SPAYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-01 |
Name of individual signing |
JESSICA SPAYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|