WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2012
|
840818474
|
2013-11-13
|
WAYNE E. BAUSCH, D.D.S., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-09-11
|
Business code |
621210
|
Sponsor’s telephone number |
3038882905
|
Plan sponsor’s
address |
844 S. COLUMBINE ST., DENVER, CO, 80209
|
Signature of
Role |
Plan administrator |
Date |
2013-11-13 |
Name of individual signing |
WAYNE E. BAUSCH, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2012
|
840818474
|
2013-06-06
|
WAYNE E. BAUSCH, D.D.S., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-09-11
|
Business code |
621210
|
Sponsor’s telephone number |
3032321830
|
Plan sponsor’s
address |
8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082
|
Signature of
Role |
Plan administrator |
Date |
2013-06-06 |
Name of individual signing |
WAYNE E. BAUSCH, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2011
|
840818474
|
2012-09-27
|
WAYNE E. BAUSCH, D.D.S., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-09-11
|
Business code |
621210
|
Sponsor’s telephone number |
3032321830
|
Plan sponsor’s
address |
8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082
|
Plan administrator’s name and address
Administrator’s EIN |
840818474 |
Plan administrator’s name |
WAYNE E. BAUSCH, D.D.S., P.C. |
Plan administrator’s
address |
8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082 |
Administrator’s telephone number |
3032321830 |
Signature of
Role |
Plan administrator |
Date |
2012-09-27 |
Name of individual signing |
WAYNE E. BAUSCH, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2010
|
840818474
|
2011-07-08
|
WAYNE E. BAUSCH, D.D.S., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-09-11
|
Business code |
621210
|
Sponsor’s telephone number |
3032321830
|
Plan sponsor’s
address |
8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082
|
Plan administrator’s name and address
Administrator’s EIN |
840818474 |
Plan administrator’s name |
WAYNE E. BAUSCH, D.D.S., P.C. |
Plan administrator’s
address |
8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082 |
Administrator’s telephone number |
3032321830 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
WAYNE E. BAUSCH, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2009
|
840818474
|
2010-08-26
|
WAYNE E. BAUSCH, D.D.S., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-09-11
|
Business code |
621210
|
Sponsor’s telephone number |
3032321830
|
Plan sponsor’s
address |
8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082
|
Plan administrator’s name and address
Administrator’s EIN |
840818474 |
Plan administrator’s name |
WAYNE E. BAUSCH, D.D.S., P.C. |
Plan administrator’s
address |
8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082 |
Administrator’s telephone number |
3032321830 |
Signature of
Role |
Plan administrator |
Date |
2010-08-26 |
Name of individual signing |
WAYNE E. BAUSCH, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|