TAX DEFERRED ANNUITY OF DEVELOPMENTAL DISABILITIES CENTER
|
2019
|
840526620
|
2021-10-08
|
DEVELOPMENTAL DISABILITIES CENTER
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-06-01
|
Business code |
624310
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Signature of
Role |
Plan administrator |
Date |
2021-10-08 |
Name of individual signing |
ROBIN GREY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-08 |
Name of individual signing |
ROBIN GREY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY OF DEVELOPMENTAL DISABILITIES CENTER
|
2018
|
840526620
|
2019-07-24
|
DEVELOPMENTAL DISABILITIES CENTER
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-06-01
|
Business code |
624310
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-24 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFITS PLAN OF DEVELOPMENTAL DISABILITES CENTER
|
2018
|
840526620
|
2020-07-03
|
DEVELOPMENTAL DISABILITIES CENTER
|
249
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036657789
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s mailing address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
241 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-07-03 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-03 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY OF DEVELOPMENTAL DISABILITIES CENTER
|
2017
|
840526620
|
2018-07-11
|
DEVELOPMENTAL DISABILITIES CENTER
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-06-01
|
Business code |
624310
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Signature of
Role |
Plan administrator |
Date |
2018-07-11 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-11 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFITS PLAN OF DEVELOPMENTAL DISABILITES CENTER
|
2017
|
840526620
|
2019-04-15
|
DEVELOPMENTAL DISABILITIES CENTER
|
252
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036657789
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s mailing address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
245 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
248 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-04-15 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-15 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY OF DEVELOPMENTAL DISABILITIES CENTER
|
2015
|
840526620
|
2016-07-26
|
DEVELOPMENTAL DISABILITIES CENTER
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-06-01
|
Business code |
624310
|
Sponsor’s telephone number |
3036657789
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFITS PLAN OF DEVELOPMENTAL DISABILITIES CENTER
|
2015
|
840526620
|
2017-03-29
|
DEVELOPMENTAL DISABILITIES CENTER
|
262
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036657789
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s mailing address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 800262790
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
254 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
256 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-03-29 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-29 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY OF DEVELOPMENTAL DISABILITIES CENTER
|
2014
|
840526620
|
2015-06-26
|
DEVELOPMENTAL DISABILITIES CENTER
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-06-01
|
Business code |
624310
|
Sponsor’s telephone number |
3036657789
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 80026
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-26 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF DEVELOPMENTAL DISABILITIES CENTER
|
2014
|
840526620
|
2016-04-08
|
DEVELOPMENTAL DISABILITIES CENTER
|
273
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3036657789
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s mailing address |
1400 DIXON AVE, LAFAYETTE, CO, 80026
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 80026
|
Number of participants as of the end of the plan year
Other
retired or separated participants entitled to future benefits |
261 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
262 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-04-08 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-08 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY OF DEVELOPMENTAL DISABILITIES CENTER
|
2013
|
840526620
|
2014-07-30
|
DEVELOPMENTAL DISABILITIES CENTER
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-06-01
|
Business code |
624310
|
Sponsor’s telephone number |
3036657789
|
Plan
sponsor’s DBA name |
IMAGINE
|
Plan sponsor’s
address |
1400 DIXON AVE, LAFAYETTE, CO, 80026
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
JOHN NEVINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|