CAPROCK BEHAVIORAL SERVICES 401(K) PLAN
|
2022
|
841236337
|
2023-06-01
|
OFFENDER SERVICES INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
389 ROBERTS COURT, GRAND JUNCTION, CO, 815046155
|
Signature of
Role |
Plan administrator |
Date |
2023-06-01 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-01 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES 401(K) PLAN
|
2021
|
841236337
|
2022-06-14
|
OFFENDER SERVICES INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
389 ROBERTS COURT, GRAND JUNCTION, CO, 815046155
|
Signature of
Role |
Plan administrator |
Date |
2022-06-14 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-14 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES 401(K) PLAN
|
2020
|
841236337
|
2021-05-20
|
OFFENDER SERVICES INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
389 ROBERTS COURT, GRAND JUNCTION, CO, 815046155
|
Signature of
Role |
Plan administrator |
Date |
2021-05-20 |
Name of individual signing |
JACK LEE ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-20 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES 401(K) PLAN
|
2019
|
841236337
|
2020-05-26
|
OFFENDER SERVICES INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
389 ROBERTS COURT, GRAND JUNCTION, CO, 815046155
|
Signature of
Role |
Plan administrator |
Date |
2020-05-26 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-26 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES 401(K) PLAN
|
2018
|
841236337
|
2019-05-16
|
OFFENDER SERVICES INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
389 ROBERTS COURT, GRAND JUNCTION, CO, 815046155
|
Signature of
Role |
Plan administrator |
Date |
2019-05-16 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-16 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES 401(K) PLAN
|
2017
|
841236337
|
2018-07-31
|
OFFENDER SERVICES INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
359 COLORADO AVE, SUITE 204, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES, INC. 401(K) PLAN
|
2016
|
841236337
|
2017-06-06
|
OFFENDER SERVICES INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
845 GRAND AVENUE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2017-06-06 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-06 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES, INC. 401(K) PLAN
|
2015
|
841236337
|
2016-08-10
|
OFFENDER SERVICES INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
845 GRAND AVENUE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2016-08-10 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-10 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES, INC. 401(K) PLAN
|
2014
|
841236337
|
2015-06-29
|
OFFENDER SERVICES INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
845 GRAND AVENUE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPROCK BEHAVIORAL SERVICES, INC. 401(K) PLAN
|
2013
|
841236337
|
2014-05-20
|
OFFENDER SERVICES INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
9702438220
|
Plan
sponsor’s DBA name |
CAPROCK BEHAVIORAL SERVICES
|
Plan sponsor’s
address |
845 GRAND AVENUE, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2014-05-20 |
Name of individual signing |
JACK ANDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|