MARK L. BELFORD, D.M.D., P.C. SECTION 401(K) PROFOT SHARING PLAN
|
2011
|
841077916
|
2012-10-26
|
MARK L. BELFORD, D.M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-02-10
|
Business code |
621210
|
Sponsor’s telephone number |
3036654000
|
Plan sponsor’s
address |
204 E. BASELINE ROAD, LAFAYETTE, CO, 800262404
|
Plan administrator’s name and address
Administrator’s EIN |
841077916 |
Plan administrator’s name |
MARK L. BELFORD, D.M.D., P.C. |
Plan administrator’s
address |
204 E. BASELINE ROAD, LAFAYETTE, CO, 800262404 |
Administrator’s telephone number |
3036654000 |
Signature of
Role |
Plan administrator |
Date |
2012-10-26 |
Name of individual signing |
MARK L BELFORD DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-26 |
Name of individual signing |
MARK L BELFORD DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK L. BELFORD, D.M.D., P.C. SECTION 401(K) PROFOT SHARING PLAN
|
2011
|
841077916
|
2012-06-03
|
MARK L. BELFORD, D.M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-02-10
|
Business code |
621210
|
Sponsor’s telephone number |
3036654000
|
Plan sponsor’s
address |
204 E. BASELINE ROAD, LAFAYETTE, CO, 800262404
|
Plan administrator’s name and address
Administrator’s EIN |
841077916 |
Plan administrator’s name |
MARK L. BELFORD, D.M.D., P.C. |
Plan administrator’s
address |
204 E. BASELINE ROAD, LAFAYETTE, CO, 800262404 |
Administrator’s telephone number |
3036654000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-03 |
Name of individual signing |
MARK L BELFORD DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-03 |
Name of individual signing |
MARK L BELFORD DMD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MARK L. BELFORD, D.M.D., P.C. SECTION 401(K) PROFOT SHARING PLAN
|
2010
|
841077916
|
2011-10-02
|
MARK L. BELFORD, D.M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-02-10
|
Business code |
621210
|
Sponsor’s telephone number |
3036654000
|
Plan sponsor’s
address |
204 E. BASELINE ROAD, LAFAYETTE, CO, 800262404
|
Plan administrator’s name and address
Administrator’s EIN |
841077916 |
Plan administrator’s name |
MARK L. BELFORD, D.M.D., P.C. |
Plan administrator’s
address |
204 E. BASELINE ROAD, LAFAYETTE, CO, 800262404 |
Administrator’s telephone number |
3036654000 |
Signature of
Role |
Plan administrator |
Date |
2011-10-02 |
Name of individual signing |
MARK L BELFORD DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-02 |
Name of individual signing |
MARK L BELFORD DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK L. BELFORD, D.M.D., P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2009
|
841077916
|
2010-08-31
|
MARK L. BELFORD, D.M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-02-10
|
Business code |
621210
|
Sponsor’s telephone number |
3036654000
|
Plan sponsor’s
address |
204 EAST BASELINE ROAD, LAFAYETTE, CO, 800262404
|
Plan administrator’s name and address
Administrator’s EIN |
841077916 |
Plan administrator’s name |
MARK L. BELFORD, D.M.D., P.C. |
Plan administrator’s
address |
204 EAST BASELINE ROAD, LAFAYETTE, CO, 800262404 |
Administrator’s telephone number |
3036654000 |
Signature of
Role |
Plan administrator |
Date |
2010-08-31 |
Name of individual signing |
MARK L BELFORD DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-31 |
Name of individual signing |
MARK L BELFORD DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|