SPA CASH BALANCE PLAN
|
2023
|
823992512
|
2024-09-18
|
EVOLVEMD, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017822400
|
Plan sponsor’s
address |
155 MAIN STREET, WAKEFIELD, RI, 02879
|
Plan administrator’s name and address
Administrator’s EIN |
203970947 |
Plan administrator’s name |
PINNACLE PLAN DESIGN, LLC |
Plan administrator’s
address |
P.O. BOX 64130, TUCSON, AZ, 85728 |
Administrator’s telephone number |
5206181305 |
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
MICHAEL LEITERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPA 401(K) PLAN
|
2023
|
823992512
|
2024-09-18
|
EVOLVEMD, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017822400
|
Plan sponsor’s
address |
155 MAIN STREET, WAKEFIELD, RI, 02879
|
Plan administrator’s name and address
Administrator’s EIN |
203970947 |
Plan administrator’s name |
PINNACLE PLAN DESIGN, LLC |
Plan administrator’s
address |
P.O. BOX 64130, TUCSON, AZ, 85728 |
Administrator’s telephone number |
5206181305 |
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
MICHAEL LEITERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPA CASH BALANCE PLAN
|
2022
|
823992512
|
2023-10-02
|
EVOLVEMD, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017822400
|
Plan sponsor’s
address |
36 S. COUNTY COMMONS WAY SUITE C5, SOUTH KINGSTON, RI, 02879
|
Plan administrator’s name and address
Administrator’s EIN |
203970947 |
Plan administrator’s name |
PINNACLE PLAN DESIGN, LLC |
Plan administrator’s
address |
P.O. BOX 64130, TUCSON, AZ, 85728 |
Administrator’s telephone number |
5206181305 |
Signature of
Role |
Plan administrator |
Date |
2023-10-02 |
Name of individual signing |
MICHAEL LEITERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPA 401(K) PLAN
|
2022
|
823992512
|
2023-10-02
|
EVOLVEMD, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017822400
|
Plan sponsor’s
address |
36 S. COUNTY COMMONS WAY, SUITE C5, SOUTH KINGSTOWN, RI, 02879
|
Plan administrator’s name and address
Administrator’s EIN |
203970947 |
Plan administrator’s name |
PINNACLE PLAN DESIGN, LLC |
Plan administrator’s
address |
P.O. BOX 64130, TUCSON, AZ, 85728 |
Administrator’s telephone number |
5206181305 |
Signature of
Role |
Plan administrator |
Date |
2023-10-02 |
Name of individual signing |
MICHAEL LEITERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPA CASH BALANCE PLAN
|
2021
|
823992512
|
2022-10-10
|
EVOLVEMD, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017822400
|
Plan sponsor’s
address |
36 S. COUNTY COMMONS WAY, SUITE C5, SOUTH KINGSTOWN, RI, 02879
|
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
MARY CHRISTINA SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-10 |
Name of individual signing |
MARY CHRISTINA SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPA 401(K) PLAN
|
2021
|
823992512
|
2022-10-10
|
EVOLVEMD, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017822400
|
Plan sponsor’s
address |
36 S. COUNTY COMMONS WAY, SUITE C5, SOUTH KINGSTOWN, RI, 02879
|
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
MARY CHRISTINA SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-10 |
Name of individual signing |
MARY CHRISTINA SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|