GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2023
|
840921915
|
2024-07-30
|
GREEN MOUNTAIN DENTAL GROUP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2024-07-30 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2022
|
840921915
|
2023-10-09
|
GREEN MOUNTAIN DENTAL GROUP
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2022
|
840921915
|
2023-07-28
|
GREEN MOUNTAIN DENTAL GROUP
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2023-07-28 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2022
|
840921915
|
2023-09-06
|
GREEN MOUNTAIN DENTAL GROUP
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2023-09-06 |
Name of individual signing |
STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-06 |
Name of individual signing |
STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2021
|
840921915
|
2022-10-07
|
GREEN MOUNTAIN DENTAL GROUP
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2020
|
840921915
|
2021-05-03
|
GREEN MOUNTAIN DENTAL GROUP
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2021-05-03 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2019
|
840921915
|
2020-10-02
|
GREEN MOUNTAIN DENTAL GROUP
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2020-10-02 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2018
|
840921915
|
2019-10-11
|
GREEN MOUNTAIN DENTAL GROUP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2017
|
840921915
|
2018-10-15
|
GREEN MOUNTAIN DENTAL GROUP
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREEN MOUNTAIN DENTAL GROUP PC 401K PLAN
|
2017
|
840921915
|
2018-09-20
|
GREEN MOUNTAIN DENTAL GROUP
|
16
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039880711
|
Plan sponsor’s
address |
13440 W ALAMEDA PKWY, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2018-09-20 |
Name of individual signing |
DR. STEVEN VANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|