JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2021
|
840826300
|
2022-07-21
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
2532 PATTERSON ROAD, SUITE 7, GRAND JUNCTION, CO, 815051098
|
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2020
|
840826300
|
2021-07-13
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
2532 PATTERSON ROAD, SUITE 7, GRAND JUNCTION, CO, 815051098
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2019
|
840826300
|
2020-08-14
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
2532 PATTERSON ROAD, SUITE 7, GRAND JUNCTION, CO, 815051098
|
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2018
|
840826300
|
2019-08-02
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
2532 PATTERSON ROAD, SUITE 7, GRAND JUNCTION, CO, 815051098
|
Signature of
Role |
Plan administrator |
Date |
2019-08-02 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2017
|
840826300
|
2018-09-21
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
2532 PATTERSON ROAD, SUITE 7, GRAND JUNCTION, CO, 815051098
|
Signature of
Role |
Plan administrator |
Date |
2018-09-21 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2016
|
840826300
|
2017-09-14
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
840826300 |
Plan administrator’s name |
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. |
Plan administrator’s
address |
2532 PATTERSON ROAD, SUITE 7, GRAND JUNCTION, CO, 815051098 |
Administrator’s telephone number |
9702454478 |
Signature of
Role |
Plan administrator |
Date |
2017-09-14 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2015
|
840826300
|
2016-10-04
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
840826300 |
Plan administrator’s name |
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. |
Plan administrator’s
address |
2532 F. ROAD, SUITE 7, GRAND JUNCTION, CO, 81505 |
Administrator’s telephone number |
9702454478 |
Signature of
Role |
Plan administrator |
Date |
2016-10-04 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2014
|
840826300
|
2015-08-20
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
840826300 |
Plan administrator’s name |
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. |
Plan administrator’s
address |
2532 F. ROAD, SUITE 7, GRAND JUNCTION, CO, 81505 |
Administrator’s telephone number |
9702454478 |
Signature of
Role |
Plan administrator |
Date |
2015-08-20 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2013
|
840826300
|
2014-10-07
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
840826300 |
Plan administrator’s name |
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. |
Plan administrator’s
address |
2532 F. ROAD, SUITE 7, GRAND JUNCTION, CO, 81505 |
Administrator’s telephone number |
9702454478 |
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. 401 (K) PROFIT SHARING PLAN
|
2012
|
840826300
|
2013-08-22
|
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702454478
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
840826300 |
Plan administrator’s name |
JOHN A. DRAZEK, D.D.S., M.S.D.,P.C. |
Plan administrator’s
address |
2532 F. ROAD, SUITE 7, GRAND JUNCTION, CO, 81505 |
Administrator’s telephone number |
9702454478 |
Signature of
Role |
Plan administrator |
Date |
2013-08-22 |
Name of individual signing |
JOHN A. DRAZEK, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|