BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. 401(K) P/S PLAN
|
2022
|
841047937
|
2023-07-14
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204370017
|
Plan sponsor’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
841047937 |
Plan administrator’s name |
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. |
Plan administrator’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401 |
Administrator’s telephone number |
7204370017 |
Signature of
Role |
Plan administrator |
Date |
2023-07-14 |
Name of individual signing |
NICOLE BARBERIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. 401(K) P/S PLAN
|
2021
|
841047937
|
2022-10-18
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7209512169
|
Plan sponsor’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
841047937 |
Plan administrator’s name |
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. |
Plan administrator’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401 |
Administrator’s telephone number |
7209512169 |
Signature of
Role |
Plan administrator |
Date |
2022-10-18 |
Name of individual signing |
JESSICA NICHELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. 401(K) P/S PLAN
|
2020
|
841047937
|
2021-09-29
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7209512169
|
Plan sponsor’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
841047937 |
Plan administrator’s name |
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. |
Plan administrator’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401 |
Administrator’s telephone number |
7209512169 |
Signature of
Role |
Plan administrator |
Date |
2021-09-29 |
Name of individual signing |
JESSICA NICHELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. 401(K) P/S PLAN
|
2019
|
841047937
|
2020-09-03
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7209512169
|
Plan sponsor’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
841047937 |
Plan administrator’s name |
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. |
Plan administrator’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401 |
Administrator’s telephone number |
7209512169 |
Signature of
Role |
Plan administrator |
Date |
2020-09-03 |
Name of individual signing |
JESSICA NICHELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. 401(K) P/S PLAN
|
2018
|
841047937
|
2019-09-05
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7209512169
|
Plan sponsor’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
841047937 |
Plan administrator’s name |
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. |
Plan administrator’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401 |
Administrator’s telephone number |
7209512169 |
Signature of
Role |
Plan administrator |
Date |
2019-09-05 |
Name of individual signing |
JESSICA NICHELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. 401(K) P/S PLAN
|
2017
|
841047937
|
2018-09-26
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7209512169
|
Plan sponsor’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
841047937 |
Plan administrator’s name |
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. |
Plan administrator’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401 |
Administrator’s telephone number |
7209512169 |
Signature of
Role |
Plan administrator |
Date |
2018-09-26 |
Name of individual signing |
JESSICA NICHELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENVER ALLERGY AND ASTHMA ASSOCIATES, P.C. 401(K) P/S PLAN
|
2016
|
841047937
|
2017-09-14
|
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7209512169
|
Plan sponsor’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
841047937 |
Plan administrator’s name |
BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, P.C. |
Plan administrator’s
address |
1746 COLE BLVD STE 320, GOLDEN, CO, 80401 |
Administrator’s telephone number |
7209512169 |
Signature of
Role |
Plan administrator |
Date |
2017-09-14 |
Name of individual signing |
JESSICA NICHELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|