MESA OTOLARYNGOLOGY, P.C. RETIREMENT PLAN
|
2013
|
840795213
|
2014-01-23
|
MESA OTOLARYNGOLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-07-08
|
Business code |
621111
|
Sponsor’s telephone number |
9702453333
|
Plan sponsor’s
address |
1964 CHAPPAREL DR, GRAND JUNCTION, CO, 815078501
|
Signature of
Role |
Plan administrator |
Date |
2014-01-23 |
Name of individual signing |
RICHARD C. HUFFAKER, D.O. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MESA OTOLARYNGOLOGY, P.C. RETIREMENT PLAN
|
2012
|
840795213
|
2013-08-23
|
MESA OTOLARYNGOLOGY, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-07-08
|
Business code |
621111
|
Sponsor’s telephone number |
9702453333
|
Plan sponsor’s
address |
1212 BOOKCLIFF AVENUE, SUITE 1, GRAND JUNCTION, CO, 815018162
|
Signature of
Role |
Plan administrator |
Date |
2013-08-23 |
Name of individual signing |
RICHARD C. HUFFAKER, D.O. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MESA OTOLARYNGOLOGY, P.C. RETIREMENT PLAN
|
2011
|
840795213
|
2012-09-07
|
MESA OTOLARYNGOLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-07-08
|
Business code |
621111
|
Sponsor’s telephone number |
9702453333
|
Plan sponsor’s
address |
1212 BOOKCLIFF AVENUE, SUITE 1, GRAND JUNCTION, CO, 815018162
|
Plan administrator’s name and address
Administrator’s EIN |
840795213 |
Plan administrator’s name |
MESA OTOLARYNGOLOGY, P.C. |
Plan administrator’s
address |
1212 BOOKCLIFF AVENUE, SUITE 1, GRAND JUNCTION, CO, 815018162 |
Administrator’s telephone number |
9702453333 |
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
RICHARD C. HUFFAKER, D.O. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MESA OTOLARYNGOLOGY, P.C. RETIREMENT PLAN
|
2010
|
840795213
|
2011-11-07
|
MESA OTOLARYNGOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-07-08
|
Business code |
621111
|
Sponsor’s telephone number |
9702453333
|
Plan sponsor’s
address |
1212 BOOKCLIFF AVENUE, GRAND JUNCTION, CO, 815018162
|
Plan administrator’s name and address
Administrator’s EIN |
840795213 |
Plan administrator’s name |
MESA OTOLARYNGOLOGY, P.C. |
Plan administrator’s
address |
1212 BOOKCLIFF AVENUE, GRAND JUNCTION, CO, 815018162 |
Administrator’s telephone number |
9702453333 |
Signature of
Role |
Plan administrator |
Date |
2011-11-07 |
Name of individual signing |
RICHARD C. HUFFAKER, D.O. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MESA OTOLARYNGOLOGY P C RETIREMENT PLAN
|
2009
|
840795213
|
2011-07-15
|
MESA OTOLARYNGOLOGY, P.C.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-07-08
|
Business code |
621111
|
Sponsor’s telephone number |
9702453333
|
Plan sponsor’s mailing address |
1212 BOOKCLIFF AVENUE, GRAND JUNCTION, CO, 81501
|
Plan sponsor’s
address |
1212 BOOKCLIFF AVENUE, GRAND JUNCTION, CO, 81501
|
Plan administrator’s name and address
Administrator’s EIN |
840795213 |
Plan administrator’s name |
MESA OTOLARYNGOLOGY, P.C. |
Plan administrator’s
address |
1212 BOOKCLIFF AVENUE, GRAND JUNCTION, CO, 81501 |
Administrator’s telephone number |
9702453333 |
|
MESA OTOLARYNGOLOGY, P.C. RETIREMENT PLAN
|
2009
|
840795213
|
2010-10-25
|
MESA OTOLARYNGOLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-07-08
|
Business code |
621111
|
Sponsor’s telephone number |
9702453333
|
Plan sponsor’s
address |
1212 BOOKCLIFF AVENUE, GRAND JUNCTION, CO, 815018162
|
Plan administrator’s name and address
Administrator’s EIN |
840795213 |
Plan administrator’s name |
MESA OTOLARYNGOLOGY, P.C. |
Plan administrator’s
address |
1212 BOOKCLIFF AVENUE, GRAND JUNCTION, CO, 815018162 |
Administrator’s telephone number |
9702453333 |
Signature of
Role |
Plan administrator |
Date |
2010-10-25 |
Name of individual signing |
RICHARD C. HUFFAKER, D.O. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|