FOREST HEIGHTS LODGE
|
2023
|
840439961
|
2024-07-16
|
FOREST HEIGHTS LODGE
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
13992 DENVER WEST PKWY BLDG 54 #150, GOLDEN, CO, 80401
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
MARK HENNINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF FOREST HEIGHTS LODGE
|
2022
|
840439961
|
2023-06-28
|
FOREST HEIGHTS LODGE
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
6746681 13922 DENVER WEST PKWY STE, LAKEWOOD, CO, 804013113
|
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
MARK HENNINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF FOREST HEIGHTS LODGE
|
2021
|
840439961
|
2022-04-05
|
FOREST HEIGHTS LODGE
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
PO BOX 789, EVERGREEN, CO, 804370789
|
Signature of
Role |
Plan administrator |
Date |
2022-04-05 |
Name of individual signing |
MARK HENNINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF FOREST HEIGHTS LODGE
|
2020
|
840439961
|
2021-06-01
|
FOREST HEIGHTS LODGE
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
PO BOX 789, EVERGREEN, CO, 804370789
|
Signature of
Role |
Plan administrator |
Date |
2021-06-01 |
Name of individual signing |
MARK HENNINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF FOREST HEIGHTS LODGE
|
2019
|
840439961
|
2020-06-24
|
FOREST HEIGHTS LODGE
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
PO BOX 789, EVERGREEN, CO, 804370789
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
MARK HENNINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF FOREST HEIGHTS LODGE
|
2018
|
840439961
|
2020-06-24
|
FOREST HEIGHTS LODGE
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
PO BOX 789, EVERGREEN, CO, 804370789
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
MARK HENNINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403 B THRIFT PLAN OF FOREST HEIGHTS LODGE
|
2017
|
840439961
|
2018-04-10
|
FOREST HEIGHTS LODGE
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
PO BOX 789, EVERGREEN, CO, 804370789
|
Signature of
Role |
Plan administrator |
Date |
2018-04-10 |
Name of individual signing |
LINDA BAKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-10 |
Name of individual signing |
LINDA BAKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF FOREST HEIGHTS LODGE
|
2016
|
840439961
|
2017-03-30
|
FOREST HEIGHTS LODGE
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
PO BOX 789, EVERGREEN, CO, 80437
|
Signature of
Role |
Plan administrator |
Date |
2017-03-30 |
Name of individual signing |
LINDA CLEFISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-30 |
Name of individual signing |
LINDA CLEFISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF FOREST HEIGHTS LODGE
|
2015
|
840439961
|
2016-05-05
|
FOREST HEIGHTS LODGE
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
PO BOX 789, EVERGREEN, CO, 80437
|
Signature of
Role |
Plan administrator |
Date |
2016-05-05 |
Name of individual signing |
LINDA CLEFISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-05 |
Name of individual signing |
LINDA CLEFISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFITS PLAN OF FOREST HEIGHTS LODGE
|
2015
|
840439961
|
2016-07-13
|
FOREST HEIGHTS LODGE
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036746681
|
Plan sponsor’s
address |
PO BOX 789, EVERGREEN, CO, 80437
|
Signature of
Role |
Plan administrator |
Date |
2016-07-13 |
Name of individual signing |
LINDA CLEFISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-13 |
Name of individual signing |
LINDA CLEFISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|