PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2018
|
841115971
|
2019-06-24
|
PIKES PEAK UROLOGY, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN ROAD, SUITE 300, COLORADO SPRINGS, CO, 80923
|
Signature of
Role |
Plan administrator |
Date |
2019-06-24 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2017
|
841115971
|
2018-04-06
|
PIKES PEAK UROLOGY, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN ROAD, SUITE 300, COLORADO SPRINGS, CO, 80923
|
Signature of
Role |
Plan administrator |
Date |
2018-04-06 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2016
|
841115971
|
2017-07-25
|
PIKES PEAK UROLOGY, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN ROAD, SUITE 300, COLORADO SPRINGS, CO, 80923
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2015
|
841115971
|
2016-08-10
|
PIKES PEAK UROLOGY, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN ROAD, SUITE 300, COLORADO SPRINGS, CO, 80923
|
Signature of
Role |
Plan administrator |
Date |
2016-08-10 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2014
|
841115971
|
2015-10-07
|
PIKES PEAK UROLOGY, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN ROAD, SUITE 300, COLORADO SPRINGS, CO, 80923
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2013
|
841115971
|
2014-05-27
|
PIKES PEAK UROLOGY, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN RD., SUITE 300, COLORADO SPRINGS, CO, 80923
|
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2012
|
841115971
|
2013-05-27
|
PIKES PEAK UROLOGY, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN RD., SUITE 300, COLORADO SPRINGS, CO, 80923
|
Signature of
Role |
Plan administrator |
Date |
2013-05-27 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2011
|
841115971
|
2012-05-14
|
PIKES PEAK UROLOGY, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
6071 E. WOODMEN RD., SUITE 300, COLORADO SPRINGS, CO, 80923
|
Plan administrator’s name and address
Administrator’s EIN |
841115971 |
Plan administrator’s name |
PIKES PEAK UROLOGY, P.C. |
Plan administrator’s
address |
6071 E. WOODMEN RD., SUITE 300, COLORADO SPRINGS, CO, 80923 |
Administrator’s telephone number |
7195317007 |
Signature of
Role |
Plan administrator |
Date |
2012-05-14 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2010
|
841115971
|
2011-04-07
|
PIKES PEAK UROLOGY, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN RD., SUITE 300, COLORADO SPRINGS, CO, 80923
|
Plan administrator’s name and address
Administrator’s EIN |
841115971 |
Plan administrator’s name |
PIKES PEAK UROLOGY, P.C. |
Plan administrator’s
address |
6071 E. WOODMEN RD., SUITE 300, COLORADO SPRINGS, CO, 80923 |
Administrator’s telephone number |
7195317007 |
Signature of
Role |
Plan administrator |
Date |
2011-04-07 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-07 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIKES PEAK UROLOGY, P.C. PROFIT SHARING PLAN
|
2010
|
841115971
|
2011-04-07
|
PIKES PEAK UROLOGY, P.C.
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195317007
|
Plan sponsor’s
address |
6071 E. WOODMEN RD., SUITE 300, COLORADO SPRINGS, CO, 80923
|
Plan administrator’s name and address
Administrator’s EIN |
841115971 |
Plan administrator’s name |
PIKES PEAK UROLOGY, P.C. |
Plan administrator’s
address |
6071 E. WOODMEN RD., SUITE 300, COLORADO SPRINGS, CO, 80923 |
Administrator’s telephone number |
7195317007 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-04-07 |
Name of individual signing |
JEFFREY A. MOODY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|