WESTERN MEDICAL ASSOCIATES, P.C. 401(K) PLAN
|
2021
|
841204681
|
2022-10-10
|
WESTERN MEDICAL ASSOCIATES, P.C.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
743 HORIZON COURT SUITE #100, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
REBECCA DASH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES, P.C. 401(K) PLAN
|
2020
|
841204681
|
2021-07-26
|
WESTERN MEDICAL ASSOCIATES, P.C.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
743 HORIZON CT STE 100, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
REBECCA DASH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES, P.C. 401(K) PLAN
|
2019
|
841204681
|
2020-07-01
|
WESTERN MEDICAL ASSOCIATES, P.C.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
743 HORIZON CT STE 100, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2020-07-01 |
Name of individual signing |
REBECCA OMERNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES, P.C. 401(K) PLAN
|
2018
|
841204681
|
2019-06-18
|
WESTERN MEDICAL ASSOCIATES, P.C.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
743 HORIZON CT STE 100, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
REBECCA OMERNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES, P.C. 401(K) PLAN
|
2017
|
841204681
|
2018-07-05
|
WESTERN MEDICAL ASSOCIATES, P.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
743 HORIZON CT STE 100, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
REBECCA OMERNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES, P.C. 401(K) PLAN
|
2016
|
841204681
|
2017-09-20
|
WESTERN MEDICAL ASSOCIATES, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
743 HORIZON CT STE 100, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2017-09-20 |
Name of individual signing |
TARA JACOBSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES
|
2015
|
841204681
|
2016-09-26
|
WESTERN MEDICAL ASSOCIATES
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
743 HORIZON COURT NO. 100, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2016-09-26 |
Name of individual signing |
TARA JARVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-26 |
Name of individual signing |
TARA JARVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES
|
2014
|
841204681
|
2015-07-30
|
WESTERN MEDICAL ASSOCIATES
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
743 HORIZON COURT NO. 110, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
TARA JARVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-30 |
Name of individual signing |
TARA JARVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES
|
2013
|
841204681
|
2014-07-23
|
WESTERN MEDICAL ASSOCIATES
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
1060 ORCHARD AVENUE, GRAND JUNCTION, CO, 815012997
|
Signature of
Role |
Plan administrator |
Date |
2014-07-23 |
Name of individual signing |
TARA JARVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN MEDICAL ASSOCIATES
|
2012
|
841204681
|
2013-07-29
|
WESTERN MEDICAL ASSOCIATES
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9702417600
|
Plan sponsor’s
address |
1060 ORCHARD AVENUE, GRAND JUNCTION, CO, 815012997
|
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
PATRICIA JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|