PIKES PEAK DENTAL X-RAY CENTER PROFIT SHARING PLAN
|
2011
|
840862686
|
2012-10-17
|
PIKES PEAK DENTAL X-RAY CENTER
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7195912990
|
Plan sponsor’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132
|
Plan administrator’s name and address
Administrator’s EIN |
840862686 |
Plan administrator’s name |
PIKES PEAK DENTAL X-RAY CENTER |
Plan administrator’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132 |
Administrator’s telephone number |
7195912990 |
Signature of
Role |
Plan administrator |
Date |
2012-10-17 |
Name of individual signing |
RONALD MCCORMACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK DENTAL X-RAY CENTER PROFIT SHARING PLAN
|
2010
|
840862686
|
2011-10-17
|
PIKES PEAK DENTAL X-RAY CENTER
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7195912990
|
Plan sponsor’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132
|
Plan administrator’s name and address
Administrator’s EIN |
840862686 |
Plan administrator’s name |
PIKES PEAK DENTAL X-RAY CENTER |
Plan administrator’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132 |
Administrator’s telephone number |
7195912990 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
RONALD MCCORMACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK DENTAL X-RAY CENTER PROFIT SHARING PLAN
|
2009
|
840862686
|
2010-10-14
|
PIKES PEAK DENTAL X-RAY CENTER
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7195912990
|
Plan sponsor’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132
|
Plan administrator’s name and address
Administrator’s EIN |
840862686 |
Plan administrator’s name |
PIKES PEAK DENTAL X-RAY CENTER |
Plan administrator’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132 |
Administrator’s telephone number |
7195912990 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
RON MCCORMACK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PIKES PEAK DENTAL X-RAY CENTER PROFIT SHARING PLAN
|
2009
|
840862686
|
2010-10-20
|
PIKES PEAK DENTAL X-RAY CENTER
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7195912990
|
Plan sponsor’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132
|
Plan administrator’s name and address
Administrator’s EIN |
840862686 |
Plan administrator’s name |
PIKES PEAK DENTAL X-RAY CENTER |
Plan administrator’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132 |
Administrator’s telephone number |
7195912990 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
RON MCCORMACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
RON MCCORMACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK DENTAL X-RAY CENTER PROFIT SHARING PLAN
|
2009
|
840862686
|
2010-10-14
|
PIKES PEAK DENTAL X-RAY CENTER
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7195912990
|
Plan sponsor’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132
|
Plan administrator’s name and address
Administrator’s EIN |
840862686 |
Plan administrator’s name |
PIKES PEAK DENTAL X-RAY CENTER |
Plan administrator’s
address |
2640 LAKE MEADOW DRIVE, MONUMENT, CO, 80132 |
Administrator’s telephone number |
7195912990 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
RON MCCORMACK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
RON MCCORMACK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|