PHILIP WILEY, M.D., P.C. 401(K) PLAN
|
2020
|
840768218
|
2021-11-21
|
PHILIP WILEY, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY, M.D., P.C. |
Plan administrator’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2021-11-21 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. 401(K) PLAN
|
2020
|
840768218
|
2021-07-08
|
PHILIP WILEY, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY, M.D., P.C. |
Plan administrator’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2021-07-08 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. 401(K) PLAN
|
2019
|
840768218
|
2020-07-26
|
PHILIP WILEY, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY, M.D., P.C. |
Plan administrator’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2020-07-26 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. 401(K) PLAN
|
2018
|
840768218
|
2019-05-08
|
PHILIP WILEY, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY, M.D., P.C. |
Plan administrator’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2019-05-08 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2017
|
840768218
|
2018-01-10
|
PHILIP WILEY, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY M.D., P.C. |
Plan administrator’s
address |
1165 S CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2018-01-10 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. 401(K) PLAN
|
2017
|
840768218
|
2018-08-04
|
PHILIP WILEY, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY, M.D., P.C. |
Plan administrator’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2018-08-04 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2016
|
840768218
|
2017-08-14
|
PHILIP WILEY, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY M.D., P.C. |
Plan administrator’s
address |
1165 S CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2017-08-14 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. 401(K) PLAN
|
2016
|
840768218
|
2017-08-14
|
PHILIP WILEY, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY, M.D., P.C. |
Plan administrator’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2017-08-14 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. 401(K) PLAN
|
2015
|
840768218
|
2016-05-19
|
PHILIP WILEY, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY, M.D., P.C. |
Plan administrator’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2016-05-19 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP WILEY, M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2015
|
840768218
|
2016-05-22
|
PHILIP WILEY, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702472920
|
Plan sponsor’s
address |
1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
|
Plan administrator’s name and address
Administrator’s EIN |
840768218 |
Plan administrator’s name |
PHILIP WILEY M.D., P.C. |
Plan administrator’s
address |
1165 S CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303 |
Administrator’s telephone number |
9702472920 |
Signature of
Role |
Plan administrator |
Date |
2016-05-22 |
Name of individual signing |
PHILIP WILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|