THOMAS P. DLUGOS, M.D., P.C. PROFIT SHARING PLAN
|
2013
|
840830572
|
2014-09-13
|
THOMAS P. DLUGOS, M.D., P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7194717252
|
Plan sponsor’s
address |
309 E. ESPANOLA, COLORADO SPRINGS, CO, 80907
|
Signature of
Role |
Plan administrator |
Date |
2014-09-13 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS P. DLUGOS, M.D., P.C. PROFIT SHARING PLAN
|
2013
|
840830572
|
2014-06-13
|
THOMAS P. DLUGOS, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7194717252
|
Plan sponsor’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907
|
Signature of
Role |
Plan administrator |
Date |
2014-06-13 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS P. DLUGOS, M.D., P.C. PROFIT SHARING PLAN
|
2012
|
840830572
|
2013-06-29
|
THOMAS P. DLUGOS, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7194717252
|
Plan sponsor’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907
|
Signature of
Role |
Plan administrator |
Date |
2013-06-29 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS P. DLUGOS, M.D., P.C. PROFIT SHARING PLAN
|
2011
|
840830572
|
2012-04-04
|
THOMAS P. DLUGOS, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7194717252
|
Plan sponsor’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907
|
Plan administrator’s name and address
Administrator’s EIN |
840830572 |
Plan administrator’s name |
THOMAS P. DLUGOS, M.D., P.C. |
Plan administrator’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7194717252 |
Signature of
Role |
Plan administrator |
Date |
2012-04-04 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS P. DLUGOS, M.D., P.C. PROFIT SHARING PLAN
|
2010
|
840830572
|
2011-04-11
|
THOMAS P. DLUGOS, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7194717252
|
Plan sponsor’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907
|
Plan administrator’s name and address
Administrator’s EIN |
840830572 |
Plan administrator’s name |
THOMAS P. DLUGOS, M.D., P.C. |
Plan administrator’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7194717252 |
Signature of
Role |
Plan administrator |
Date |
2011-04-11 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-11 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS P. DLUGOS, M.D., P.C. PROFIT SHARING PLAN
|
2010
|
840830572
|
2011-03-15
|
THOMAS P. DLUGOS, M.D., P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7194717252
|
Plan sponsor’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907
|
Plan administrator’s name and address
Administrator’s EIN |
840830572 |
Plan administrator’s name |
THOMAS P. DLUGOS, M.D., P.C. |
Plan administrator’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7194717252 |
Signature of
Role |
Plan administrator |
Date |
2011-03-15 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-15 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS P. DLUGOS, M.D., P.C. PROFIT SHARING PLAN
|
2009
|
840830572
|
2010-07-26
|
THOMAS P. DLUGOS, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7194717252
|
Plan sponsor’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907
|
Plan administrator’s name and address
Administrator’s EIN |
840830572 |
Plan administrator’s name |
THOMAS P. DLUGOS, M.D., P.C. |
Plan administrator’s
address |
309 E. ESPANOLA ST., COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7194717252 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-26 |
Name of individual signing |
THOMAS P. DLUGOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|