SOUTHMOOR PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
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841036299
|
2022-06-24
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SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
23
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 E HAMPDEN AVENUE, SUITE 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2022-06-24 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-24 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
841036299
|
2021-07-01
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 E HAMPDEN AVENUE, SUITE 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2021-07-01 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
841036299
|
2020-09-18
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 E HAMPDEN AVENUE, SUITE 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2020-09-18 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
841036299
|
2020-09-18
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
25
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 E HAMPDEN AVENUE, SUITE 100, DENVER, CO, 80224
|
Signature of
Role |
Employer/plan sponsor |
Date |
2020-09-18 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
841036299
|
2019-10-03
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 E HAMPDEN AVENUE, SUITE 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
841036299
|
2018-10-11
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 E HAMPDEN AVE, SUITE 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
841036299
|
2017-10-09
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 E HAMPDEN AVE, SUITE 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
841036299
|
2016-10-17
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 E HAMPDEN AVE, SUITE 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
841036299
|
2015-10-13
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 EAST HAMPDEN AVE., STE. 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
841036299
|
2014-10-13
|
SOUTHMOOR PEDIATRIC DENTISTRY, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037586057
|
Plan sponsor’s
address |
6850 EAST HAMPDEN AVE., STE. 100, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
SCOTT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|