EDWARD J. LACY, JR. , D. D. S. , P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
841136183
|
2021-10-20
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672372
|
Plan sponsor’s
address |
2550 ABARR DR., LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2021-10-20 |
Name of individual signing |
EDWARD J. LACY, JR., D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-20 |
Name of individual signing |
EDWARD J. LACY, JR., D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR. , D. D. S. , P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
841136183
|
2021-05-14
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672372
|
Plan sponsor’s
address |
2550 ABARR DR., LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2021-05-14 |
Name of individual signing |
EDWARD J. LACY, JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-14 |
Name of individual signing |
EDWARD J. LACY. JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR. , D. D. S. , P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
841136183
|
2020-05-22
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672372
|
Plan sponsor’s
address |
2550 ABARR DR., LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2020-05-22 |
Name of individual signing |
EDWARD J. LACY, JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-22 |
Name of individual signing |
EDWARD J. LACY. JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR. , D. D. S. , P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
841136183
|
2019-05-17
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672372
|
Plan sponsor’s
address |
2550 ABARR DR., LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2019-05-17 |
Name of individual signing |
EDWARD J. LACY, JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-17 |
Name of individual signing |
EDWARD J. LACY. JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR. , D. D. S. , P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
841136183
|
2018-06-05
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672372
|
Plan sponsor’s
address |
2550 ABARR DR., LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2018-06-05 |
Name of individual signing |
EDWARD J. LACY, JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-05 |
Name of individual signing |
EDWARD J. LACY. JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR. , D. D. S. , P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
841136183
|
2017-06-09
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672372
|
Plan sponsor’s
address |
2550 ABARR DR., LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2017-06-08 |
Name of individual signing |
EDWARD J. LACY, JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-08 |
Name of individual signing |
EDWARD J. LACY. DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR. , D. D. S. , P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
841136183
|
2016-05-05
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672372
|
Plan sponsor’s
address |
2550 ABARR DR., LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2016-05-05 |
Name of individual signing |
EDWARD J. LACY, JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-05 |
Name of individual signing |
EDWARD J. LACY, JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR., D. D. S., P.P C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
841136183
|
2015-08-21
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672372
|
Plan sponsor’s
address |
2550 ABARR DR., LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2015-08-21 |
Name of individual signing |
EDWARD J.LACY, JR.D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-21 |
Name of individual signing |
EDWARD J.LACY, JR. D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR., D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
841136183
|
2014-09-03
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672373
|
Plan sponsor’s
address |
2550 ABARR DRIVE, LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2014-09-03 |
Name of individual signing |
EDWARD J. LACY, JR., D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-03 |
Name of individual signing |
EDWARD J. LACY, JR., D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD J. LACY, JR., D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
841136183
|
2013-09-27
|
EDWARD J. LACY, JR., D.D.S., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706672373
|
Plan sponsor’s
address |
2550 ABARR DRIVE, LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2013-09-27 |
Name of individual signing |
EDWARD J. LACY, JR., D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-27 |
Name of individual signing |
EDWARD J. LACY, JR., D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|