NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2015
|
840700122
|
2016-02-25
|
NILE G. SCOTT, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Signature of
Role |
Plan administrator |
Date |
2016-02-25 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-25 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2014
|
840700122
|
2015-07-08
|
NILE G. SCOTT, D.D.S., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-08 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2013
|
840700122
|
2014-05-22
|
NILE G. SCOTT, D.D.S., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Signature of
Role |
Plan administrator |
Date |
2014-05-22 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-22 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2012
|
840700122
|
2013-09-17
|
NILE G. SCOTT, D.D.S., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Signature of
Role |
Plan administrator |
Date |
2013-09-17 |
Name of individual signing |
NILE G SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-17 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2011
|
840700122
|
2012-05-30
|
NILE G. SCOTT, D.D.S., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Plan administrator’s name and address
Administrator’s EIN |
840700122 |
Plan administrator’s name |
NILE G. SCOTT, D.D.S., P.C. |
Plan administrator’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033 |
Administrator’s telephone number |
7195452722 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-30 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2010
|
840700122
|
2011-08-02
|
NILE G. SCOTT, D.D.S., P.C.
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Plan administrator’s name and address
Administrator’s EIN |
840700122 |
Plan administrator’s name |
NILE G. SCOTT, D.D.S., P.C. |
Plan administrator’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033 |
Administrator’s telephone number |
7195452722 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-02 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2010
|
840700122
|
2011-08-02
|
NILE G. SCOTT, D.D.S., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Plan administrator’s name and address
Administrator’s EIN |
840700122 |
Plan administrator’s name |
NILE G. SCOTT, D.D.S., P.C. |
Plan administrator’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033 |
Administrator’s telephone number |
7195452722 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-02 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2010
|
840700122
|
2011-08-02
|
NILE G. SCOTT, D.D.S., P.C.
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Plan administrator’s name and address
Administrator’s EIN |
840700122 |
Plan administrator’s name |
NILE G. SCOTT, D.D.S., P.C. |
Plan administrator’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033 |
Administrator’s telephone number |
7195452722 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-02 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2010
|
840700122
|
2011-07-29
|
NILE G. SCOTT, D.D.S., P.C.
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Plan administrator’s name and address
Administrator’s EIN |
840700122 |
Plan administrator’s name |
NILE G. SCOTT, D.D.S., P.C. |
Plan administrator’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033 |
Administrator’s telephone number |
7195452722 |
|
NILE G. SCOTT, D.D.S., P.C. PROFIT SHARING PLAN
|
2009
|
840700122
|
2010-07-28
|
NILE G. SCOTT, D.D.S., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1975-12-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195452722
|
Plan sponsor’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033
|
Plan administrator’s name and address
Administrator’s EIN |
840700122 |
Plan administrator’s name |
NILE G. SCOTT, D.D.S., P.C. |
Plan administrator’s
address |
1641 HORSESHOE DRIVE, PUEBLO, CO, 810012033 |
Administrator’s telephone number |
7195452722 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-28 |
Name of individual signing |
NILE G. SCOTT, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|