ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
841199652
|
2021-08-19
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2021-08-19 |
Name of individual signing |
PETER FURNESS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
841199652
|
2020-04-10
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2020-04-10 |
Name of individual signing |
BRUCE BLYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
841199652
|
2019-05-16
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
841199652
|
2018-08-01
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2018-08-01 |
Name of individual signing |
BRUCE BLYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
841199652
|
2017-08-30
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2017-08-30 |
Name of individual signing |
BRUCE BLYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
841199652
|
2016-10-05
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
841199652
|
2015-10-15
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
BRUCE BLYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
841199652
|
2014-07-16
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
BRUCE BLYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
841199652
|
2013-10-13
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2013-10-13 |
Name of individual signing |
BRUCE BLYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
841199562
|
2012-04-11
|
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3032267252
|
Plan sponsor’s
address |
1601 E. 19TH AVE., SUITE 6400, DENVER, CO, 80218
|
Plan administrator’s name and address
Administrator’s EIN |
841199562 |
Plan administrator’s name |
ROCKY MOUNTAIN PEDIATRIC UROLOGY, P.C. |
Plan administrator’s
address |
1601 E. 19TH AVE., SUITE 6400, DENVER, CO, 80218 |
Administrator’s telephone number |
3032267252 |
Signature of
Role |
Plan administrator |
Date |
2012-04-11 |
Name of individual signing |
BRUCE BLYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|