LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2023
|
840764579
|
2024-03-27
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2024-03-27 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2022
|
840764579
|
2023-06-27
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2021
|
840764579
|
2022-04-27
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2022-04-27 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2020
|
840764579
|
2021-07-18
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2021-07-18 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2019
|
840764579
|
2020-07-02
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2020-07-02 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2018
|
840764579
|
2019-07-12
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2019-07-12 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2017
|
840764579
|
2018-07-22
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2018-07-22 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2016
|
840764579
|
2017-06-09
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2017-06-09 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN
|
2015
|
840764579
|
2016-07-26
|
LAKEWOOD FAMILY DENTISTRY P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan sponsor’s
address |
7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
L LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADA RETIREMENT
|
2011
|
840764579
|
2012-07-25
|
LAKEWOOD FAMILY DENTISTRY
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3032374831
|
Plan
sponsor’s DBA name |
LAKEWOOD FAMILY DENTISTRY
|
Plan sponsor’s
address |
7700 W 14TH AVE, LAKEWOOD, CO, 80214
|
Plan administrator’s name and address
Administrator’s EIN |
840764579 |
Plan administrator’s name |
LANCE LONG |
Plan administrator’s
address |
7700 W 14TH AVE, LAKEWOOD, CO, 80214 |
Administrator’s telephone number |
3032374831 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
LANCE LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|