BRUNDIGE FAMILY PRACTICE CLINIC, P.C. PROFIT
|
2015
|
840735901
|
2016-07-18
|
BRUNDIGE FAMILY PRACTICE CLINIC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032370086
|
Plan sponsor’s
address |
9692 WEST KENTUCKY PLACE, LAKEWOOD, CO, 80226
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
RICHARD L BRUNDIGE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUNDIGE FAMILY PRACTICE CLINIC PC PROFIT
|
2014
|
840735901
|
2015-07-09
|
BRUNDIGE FAMILY PRACTICE CLINIC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032370086
|
Plan sponsor’s
address |
9692 W KENTUCKY PLACE, LAKEWOOD, CO, 80226
|
Signature of
Role |
Plan administrator |
Date |
2015-07-09 |
Name of individual signing |
RICHARD L BRUNDIGE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUNDIGE FAMILY PRACTICE CLINIC, P.C. PROFIT SHARING PLAN
|
2013
|
840735901
|
2014-07-22
|
BRUNDIGE FAMILY PRACTICE CLINIC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032370086
|
Plan sponsor’s
address |
8015 W ALAMEDA AVENUE, SUITE 050, LAKEWOOD, CO, 80226
|
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
RICHARD L BRUNDIGE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUNDIGE FAMILY PRACTICE CLINIC, P.C. PROFIT SHARING PLAN
|
2012
|
840735901
|
2013-07-08
|
BRUNDIGE FAMILY PRACTICE CLINIC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032370086
|
Plan sponsor’s
address |
8015 W ALAMEDA AVENUE, SUITE 050, LAKEWOOD, CO, 80226
|
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
RICHARD L BRUNDIGE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUNDIGE FAMILY PRACTICE CLINIC, P.C. PROFIT SHARING PLAN
|
2011
|
840735901
|
2012-06-25
|
BRUNDIGE FAMILY PRACTICE CLINIC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032370086
|
Plan sponsor’s
address |
8015 W ALAMEDA AVENUE, SUITE 050, LAKEWOOD, CO, 80226
|
Plan administrator’s name and address
Administrator’s EIN |
840735901 |
Plan administrator’s name |
BRUNDIGE FAMILY PRACTICE CLINIC |
Plan administrator’s
address |
8015 W ALAMEDA AVENUE, SUITE 050, LAKEWOOD, CO, 80226 |
Administrator’s telephone number |
3032370086 |
Signature of
Role |
Plan administrator |
Date |
2012-06-25 |
Name of individual signing |
RICHARD L BRUNDIGE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUNDIGE FAMILY PRACTICE CLINIC PC PROFIT SHARING PLAN
|
2010
|
840735901
|
2011-10-07
|
BRUNDIGE FAMILY PRACTICE CLINIC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032370086
|
Plan sponsor’s
address |
8015 W ALAMEDA AVENUE, SUITE 050, LAKEWOOD, CO, 80226
|
Plan administrator’s name and address
Administrator’s EIN |
840735901 |
Plan administrator’s name |
BRUNDIGE FAMILY PRACTICE CLINIC |
Plan administrator’s
address |
8015 W ALAMEDA AVENUE, SUITE 050, LAKEWOOD, CO, 80226 |
Administrator’s telephone number |
3032370086 |
Signature of
Role |
Plan administrator |
Date |
2011-10-07 |
Name of individual signing |
RICHARD L BRUNDIGE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|