DALBY, WENDLAND & CO.,P.C. GROUP HEALTH BENEFIT PL
|
2023
|
840795096
|
2024-05-29
|
DALBY, WENDLAND & CO.,P.C.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Active participants |
71 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-03-01 |
Name of individual signing |
SHANNON R. NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2022
|
840795096
|
2023-05-26
|
DALBY, WENDLAND & CO.,P.C.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-05-26 |
Name of individual signing |
SHANNON R. NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2021
|
840795096
|
2022-10-17
|
DALBY, WENDLAND & CO.,P.C.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-04-15 |
Name of individual signing |
SHANNON R. NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2020
|
840795096
|
2021-08-17
|
DALBY, WENDLAND & CO.,P.C.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
SHANNON R. BEAUREGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2019
|
840795096
|
2020-06-25
|
DALBY, WENDLAND & CO.,P.C.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-02-25 |
Name of individual signing |
SHANNON R. BEAUREGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2018
|
840795096
|
2019-07-23
|
DALBY, WENDLAND & CO.,P.C.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-22 |
Name of individual signing |
SHANNON R. BEAUREGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2017
|
840795096
|
2018-04-25
|
DALBY, WENDLAND & CO.,P.C.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-03-29 |
Name of individual signing |
SHANNON R. BEAUREGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2016
|
840795096
|
2017-10-09
|
DALBY, WENDLAND & CO.,P.C.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
SHANNON R. BEAUREGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2015
|
840795096
|
2016-09-06
|
DALBY, WENDLAND & CO.,P.C.
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-09-03 |
Name of individual signing |
SHANNON R. NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALBY, WENDLAND & CO.,P.C. HEALTH & WELFARE PLAN
|
2014
|
840795096
|
2015-09-24
|
DALBY, WENDLAND & CO.,P.C.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
9702431921
|
Plan sponsor’s mailing address |
PO BOX 430, GRAND JUNCTION, CO, 81502
|
Plan sponsor’s
address |
464 MAIN STREET, GRAND JUNCTION, CO, 81501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-08-17 |
Name of individual signing |
SHANNON R. PSENDA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|