FRONT RANGE PERIODONTAL ASSOCIATES P.C.PENSION MONEY PURCHASE TRUST
|
2015
|
840897368
|
2016-06-05
|
FRONT RANGE PERIODONTAL ASSOCIATES P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
3037726293
|
Plan sponsor’s mailing address |
1545 STARDANCE CIR, LONGMONT, CO, 805048833
|
Plan sponsor’s
address |
1545 STARDANCE CIR, LONGMONT, CO, 805048833
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-06-05 |
Name of individual signing |
LYLE DEHNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-05 |
Name of individual signing |
LYLE DEHNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRONT RANGE PERIODONTAL ASSOCIATES, P.C. PENSION MONEY PURCHASE TRUST
|
2014
|
840897368
|
2015-07-19
|
FRONT RANGE PERIODONTAL ASSOCIATES, P.C
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
3037726293
|
Plan sponsor’s mailing address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-19 |
Name of individual signing |
LYLE DEHNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2015-07-19 |
Name of individual signing |
LYLE DEHNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRONT RANGE PERIODONTAL ASSOCIATES, P.C. PENSION MONEY PURCHASE TRUST
|
2012
|
840897368
|
2013-07-26
|
FRONT RANGE PERIODONTAL ASSOCIATES, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
3037726293
|
Plan sponsor’s mailing address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
LYLE DEHNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
LYLE DEHNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRONT RANGE PERIODONTAL ASSOCIATES, P.C. PENSION MONEY PURCHASE TRUST
|
2011
|
840897368
|
2012-07-30
|
FRONT RANGE PERIODONTAL ASSOCIATES, P. C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
3037726293
|
Plan sponsor’s mailing address |
1525 STARDANCE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1525 STARDANCE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840897368 |
Plan administrator’s name |
FRONT RANGE PERIODONTAL ASSOCIATES, P. C. |
Plan administrator’s
address |
1525 STARDANCE CR., LONGMONT, CO, 80501 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
LYLE DEHNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRONT RANGE PERIODODNTAL ASSOCIATES, P.D. PENSION MONEY PURCHASE TRUST
|
2010
|
840897368
|
2011-07-30
|
FRONT RANGE PERIODONTAL ASSOCIATES, P. C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
3037726293
|
Plan sponsor’s mailing address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840897368 |
Plan administrator’s name |
FRONT RANGE PERIODONTAL ASSOCIATES, P. C. |
Plan administrator’s
address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501 |
Administrator’s telephone number |
3037726293 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-30 |
Name of individual signing |
GAYLEN MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRONT RANGE PERIODONTAL ASSOCIATES, P.C. PENSION MONEY PURCHASE PLAN
|
2009
|
840897368
|
2010-07-26
|
FRONT RANGE PERIODONTAL ASSOCIATES, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
3037726293
|
Plan sponsor’s mailing address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840897368 |
Plan administrator’s name |
FRONT RANGE PERIODONTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1525 STARDANCE CIRCLE, LONGMONT, CO, 80501 |
Administrator’s telephone number |
3037726293 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
LYLE DEHNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|