LOVELAND SURGICAL ASSOCIATES 401(K) PLAN
|
2012
|
841102755
|
2013-07-23
|
LOVELAND SURGICAL ASSOCIATES
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9706693212
|
Plan sponsor’s
address |
1900 N BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
THOMAS BLOMQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-23 |
Name of individual signing |
THOMAS BLOMQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOVELAND SURGICAL ASSOCIATES 401(K) PLAN
|
2012
|
841102755
|
2013-10-31
|
LOVELAND SURGICAL ASSOCIATES
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9706693212
|
Plan sponsor’s
address |
1900 N BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538
|
Signature of
Role |
Plan administrator |
Date |
2013-10-31 |
Name of individual signing |
THOMAS BLOMQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOVELAND SURGICAL ASSOCIATES 401(K) PLAN
|
2011
|
841102755
|
2012-10-05
|
LOVELAND SURGICAL ASSOCIATES
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9706693212
|
Plan sponsor’s
address |
1900 N. BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538
|
Plan administrator’s name and address
Administrator’s EIN |
841102755 |
Plan administrator’s name |
LOVELAND SURGICAL ASSOCIATES |
Plan administrator’s
address |
1900 N. BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538 |
Administrator’s telephone number |
9706693212 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
GAYLENE PEGG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-05 |
Name of individual signing |
GAYLENE PEGG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOVELAND SURGICAL ASSOCIATES 401(K) PLAN
|
2010
|
841102755
|
2011-06-07
|
LOVELAND SURGICAL ASSOCIATES
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9706694772
|
Plan sponsor’s
address |
1900 N. BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538
|
Plan administrator’s name and address
Administrator’s EIN |
841102755 |
Plan administrator’s name |
LOVELAND SURGICAL ASSOCIATES |
Plan administrator’s
address |
1900 N. BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538 |
Administrator’s telephone number |
9706694772 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
GAYLENE PEGG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-07 |
Name of individual signing |
GAYLENE PEGG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOVELAND SURGICAL ASSOCIATES 401(K) PLAN
|
2009
|
841102755
|
2010-10-01
|
LOVELAND SURGICAL ASSOCIATES
|
15
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9706694772
|
Plan sponsor’s
address |
1900 N. BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538
|
Plan administrator’s name and address
Administrator’s EIN |
841102755 |
Plan administrator’s name |
LOVELAND SURGICAL ASSOCIATES |
Plan administrator’s
address |
1900 N. BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538 |
Administrator’s telephone number |
9706694772 |
|
LOVELAND SURGICAL ASSOCIATES 401(K) PLAN
|
2009
|
841102755
|
2010-10-04
|
LOVELAND SURGICAL ASSOCIATES
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9706694772
|
Plan sponsor’s
address |
1900 N. BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538
|
Plan administrator’s name and address
Administrator’s EIN |
841102755 |
Plan administrator’s name |
LOVELAND SURGICAL ASSOCIATES |
Plan administrator’s
address |
1900 N. BOISE AVENUE, SUITE 420, LOVELAND, CO, 80538 |
Administrator’s telephone number |
9706694772 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
GAYLENE PEGG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-04 |
Name of individual signing |
GAYLENE PEGG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|