MOUNTAIN WEST DERMATOLOGY, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2023
|
840611546
|
2024-05-09
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2024-05-09 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST DERMATOLOGY, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2022
|
840611546
|
2023-06-29
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2023-06-29 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-29 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST DERMATOLOGY, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2021
|
840611546
|
2022-07-22
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-22 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST DERMATOLOGY, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2020
|
840611546
|
2021-06-09
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2021-06-09 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-09 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST DERMATOLOGY, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2019
|
840611546
|
2020-05-05
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2020-05-05 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-05 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST DERMATOLOGY, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2018
|
840611546
|
2019-06-03
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2019-06-03 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST DERMATOLOGY, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2017
|
840611546
|
2018-05-23
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2018-05-23 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-23 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST DERMATOLOGY, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2016
|
840611546
|
2017-05-15
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2017-05-15 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-15 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST DERMATOLOGY, PC SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2015
|
840611546
|
2016-05-05
|
MOUNTAIN WEST DERMATOLOGY, P.C.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2001-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702455280
|
Plan sponsor’s
address |
2655 LITTLE BOOKCLIFF DRIVE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2016-05-05 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-05 |
Name of individual signing |
LEWIS KIRKEGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|