BILL BOOM INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
840632985
|
2022-09-30
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
COREY BOLLACKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
840632985
|
2021-05-13
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2021-05-13 |
Name of individual signing |
TERRY L ADLONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
840632985
|
2020-06-11
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2020-06-11 |
Name of individual signing |
TERRY ADLONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
840632985
|
2019-06-04
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2019-06-04 |
Name of individual signing |
TERRY ADLONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
840632985
|
2018-09-10
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2018-09-10 |
Name of individual signing |
TERRY ADLONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
840632985
|
2017-07-12
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
TERRY ADLONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
840632985
|
2015-07-14
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
TERRY ADLONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
840632985
|
2014-06-09
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2014-06-09 |
Name of individual signing |
TERRYADLONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
840632985
|
2013-06-18
|
BILL BOOM INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Signature of
Role |
Plan administrator |
Date |
2013-06-18 |
Name of individual signing |
BILL BOOM INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILL BOOM INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
840632985
|
2012-07-11
|
BILL BOOM INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
3037612666
|
Plan sponsor’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332
|
Plan administrator’s name and address
Administrator’s EIN |
840632985 |
Plan administrator’s name |
BILL BOOM INC |
Plan administrator’s
address |
3085 S WYANDOT ST, ENGLEWOOD, CO, 801101332 |
Administrator’s telephone number |
3037612666 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
BILL BOOM INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|