EMPLOYEE PROFIT SHARING PLAN OF COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
2014
|
841131679
|
2015-09-24
|
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037880142
|
Plan sponsor’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Signature of
Role |
Plan administrator |
Date |
2015-09-24 |
Name of individual signing |
RICK E. SCHALER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE PROFIT SHARING PLAN OF COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
2013
|
841131679
|
2014-09-04
|
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037880142
|
Plan sponsor’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Signature of
Role |
Plan administrator |
Date |
2014-09-04 |
Name of individual signing |
RICK E. SCHALER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE PROFIT SHARING PLAN OF COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
2012
|
841131679
|
2013-08-23
|
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037880142
|
Plan sponsor’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Signature of
Role |
Plan administrator |
Date |
2013-08-23 |
Name of individual signing |
RICK E. SCHALER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE PROFIT SHARING PLAN OF COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
2010
|
841131679
|
2011-06-14
|
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037880142
|
Plan sponsor’s mailing address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Plan sponsor’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Plan administrator’s name and address
Administrator’s EIN |
841131679 |
Plan administrator’s name |
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C. |
Plan administrator’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733 |
Administrator’s telephone number |
3037880142 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-14 |
Name of individual signing |
RICK E. SCHALER, M.D., F.A.C.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE PROFIT SHARING PLAN OF COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
2009
|
841131679
|
2010-10-14
|
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3039961707
|
Plan sponsor’s mailing address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Plan sponsor’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Plan administrator’s name and address
Administrator’s EIN |
841131679 |
Plan administrator’s name |
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C. |
Plan administrator’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733 |
Administrator’s telephone number |
3039961707 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
RICK E. SCHALER, M.D., F.A.C.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE PROFIT SHARING PLAN OF COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
2009
|
841131679
|
2010-10-14
|
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3039961707
|
Plan sponsor’s mailing address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Plan sponsor’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733
|
Plan administrator’s name and address
Administrator’s EIN |
841131679 |
Plan administrator’s name |
COLORADO HEAD & NECK SURGICAL CONSULTANTS, P.C. |
Plan administrator’s
address |
9218 KIMMER DRIVE, SUITE 201, LONE TREE, CO, 801246733 |
Administrator’s telephone number |
3039961707 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
RICK E. SCHALER, M.D., F.A.C.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|