ROARING FORK EYE CLINIC P.C. 401(K) PLAN
|
2011
|
841032035
|
2012-10-12
|
ROARING FORK EYE CLINIC P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9709455444
|
Plan sponsor’s
address |
2520 GRAND AVENUE, STE 112, GLENWOOD SPRINGS, CO, 81601
|
Plan administrator’s name and address
Administrator’s EIN |
841032035 |
Plan administrator’s name |
ROARING FORK EYE CLINIC P.C. |
Plan administrator’s
address |
2520 GRAND AVENUE, STE 112, GLENWOOD SPRINGS, CO, 81601 |
Administrator’s telephone number |
9709455444 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
DAN WEITZENKORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROARING FORK EYE CLINIC P.C. 401(K) PLAN
|
2011
|
841032035
|
2012-10-12
|
ROARING FORK EYE CLINIC P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9709455444
|
Plan sponsor’s
address |
2520 GRAND AVENUE, STE. 112, GLENWOOD SPRINGS, CO, 81601
|
Plan administrator’s name and address
Administrator’s EIN |
841032035 |
Plan administrator’s name |
ROARING FORK EYE CLINIC P.C. |
Plan administrator’s
address |
2520 GRAND AVENUE, STE. 112, GLENWOOD SPRINGS, CO, 81601 |
Administrator’s telephone number |
9709455444 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
DAN WEITZENKORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROARING FORK EYE CLINIC P.C. 401(K) PLAN
|
2010
|
841032035
|
2011-10-17
|
ROARING FORK EYE CLINIC P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9709455444
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 2851 SOUTH PARKER RD., SUITE 230, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
841032035 |
Plan administrator’s name |
ROARING FORK EYE CLINIC P.C. |
Plan administrator’s
address |
2520 GRAND AVENUE, STE 112, GLENWOOD SPRINGS, CO, 81601 |
Administrator’s telephone number |
9709455444 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
DAN WEITZENKORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
DAN WEITZENKORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROARING FORK EYE CLINIC P.C. 401(K) PLAN
|
2009
|
841032035
|
2010-10-11
|
ROARING FORK EYE CLINIC P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9709455444
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 2851 SOUTH PARKER RD SUITE 230, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
841032035 |
Plan administrator’s name |
ROARING FORK EYE CLINIC P.C. |
Plan administrator’s
address |
2520 GRAND AVENUE, STE 112, GLENWOOD SPRINGS, CO, 81601 |
Administrator’s telephone number |
9709455444 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
DAN WEITZENKORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
DAN WEITZENKORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROARING FORK EYE CLINIC P.C. 401(K) PLAN
|
2009
|
841032035
|
2010-10-11
|
ROARING FORK EYE CLINIC P.C.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9709455444
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 2851 SOUTH PARKER RD SUITE 230, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
841032035 |
Plan administrator’s name |
ROARING FORK EYE CLINIC P.C. |
Plan administrator’s
address |
2520 GRAND AVENUE, STE 112, GLENWOOD SPRINGS, CO, 81601 |
Administrator’s telephone number |
9709455444 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
DAN WEITZENKORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
DAN WEITZENKORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|