STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2016
|
841068600
|
2017-10-16
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
STANLEY JERANKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2016
|
841068600
|
2017-10-16
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
STANLEY JERANKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2015
|
841068600
|
2016-10-17
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2014
|
841068600
|
2015-10-15
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
STANLEY JERANKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2013
|
841068600
|
2014-10-09
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
STANLEY JERANKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2012
|
841068600
|
2013-07-16
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
STANLEY JERANKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2011
|
841068600
|
2012-07-26
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Plan administrator’s name and address
Administrator’s EIN |
841068600 |
Plan administrator’s name |
STANDLEY SHORES DENTAL GROUP, P.C. |
Plan administrator’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021 |
Administrator’s telephone number |
3034209720 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
STANLEY JERANKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2010
|
841068600
|
2011-09-14
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Plan administrator’s name and address
Administrator’s EIN |
841068600 |
Plan administrator’s name |
STANDLEY SHORES DENTAL GROUP, P.C. |
Plan administrator’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021 |
Administrator’s telephone number |
3034209720 |
Signature of
Role |
Plan administrator |
Date |
2011-09-14 |
Name of individual signing |
STANLEY JERANKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2009
|
841068600
|
2010-09-13
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Plan administrator’s name and address
Administrator’s EIN |
841068600 |
Plan administrator’s name |
STANDLEY SHORES DENTAL GROUP, P.C. |
Plan administrator’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021 |
Administrator’s telephone number |
3034209720 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
STANLEY JERANKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STANDLEY SHORES DENTAL GROUP 401K PLAN
|
2009
|
841068600
|
2010-08-05
|
STANDLEY SHORES DENTAL GROUP, P.C.
|
28
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034209720
|
Plan sponsor’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021
|
Plan administrator’s name and address
Administrator’s EIN |
841068600 |
Plan administrator’s name |
STANDLEY SHORES DENTAL GROUP, P.C. |
Plan administrator’s
address |
10071 N. WADSWORTH PKWY., SUITE 100, WESTMINSTER, CO, 80021 |
Administrator’s telephone number |
3034209720 |
Signature of
Role |
Plan administrator |
Date |
2010-08-05 |
Name of individual signing |
STANLEY L. JERANKO |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|