EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2017
|
841345795
|
2018-07-21
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
26719 PLEASANT PARK ROAD, SUITE 220, CONIFER, CO, 80433
|
Signature of
Role |
Plan administrator |
Date |
2018-07-21 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2017
|
841345795
|
2018-07-19
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
1
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
PO BOX 12552, DENVER, CO, 802120552
|
Signature of
Role |
Plan administrator |
Date |
2018-07-19 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2017
|
841345795
|
2018-07-21
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
26719 PLEASANT PARK ROAD, SUITE 220, CONIFER, CO, 80433
|
Signature of
Role |
Plan administrator |
Date |
2018-07-21 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2017
|
841345795
|
2018-07-19
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
PO BOX 12552, DENVER, CO, 802120552
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2016
|
841345795
|
2017-07-18
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
PO BOX 12552, DENVER, CO, 802120552
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2015
|
841345795
|
2016-07-11
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
PO BOX 12552, DENVER, CO, 802120552
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2014
|
841345795
|
2015-06-30
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
PO BOX 12552, DENVER, CO, 802120552
|
Signature of
Role |
Plan administrator |
Date |
2015-06-30 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2013
|
841345795
|
2014-06-17
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
PO BOX 12552, DENVER, CO, 802120552
|
Signature of
Role |
Plan administrator |
Date |
2014-06-17 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2012
|
841345795
|
2013-05-08
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
PO BOX 12552, DENVER, CO, 802120552
|
Plan administrator’s name and address
Administrator’s EIN |
841345795 |
Plan administrator’s name |
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C. |
Plan administrator’s
address |
2942 EVERGREEN PKWY, EVERGREEN, CO, 804397909 |
Administrator’s telephone number |
3036704802 |
Signature of
Role |
Plan administrator |
Date |
2013-05-08 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC 401K PLAN
|
2011
|
841345795
|
2012-07-20
|
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
3036747086
|
Plan sponsor’s
address |
PO BOX 12552, DENVER, CO, 802120552
|
Plan administrator’s name and address
Administrator’s EIN |
841345795 |
Plan administrator’s name |
EVERGREEN SPORT & SPINE PHYSICAL THERAPY, P.C. |
Plan administrator’s
address |
2942 EVERGREEN PKWY, EVERGREEN, CO, 804397909 |
Administrator’s telephone number |
3036704802 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
KIMBERLY KAISER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|