KATHRYN KUTTER KAELIN, D.M.D., P.C. 401(K) PLAN
|
2022
|
841444886
|
2023-10-09
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3038058266
|
Plan sponsor’s
address |
19700 E PARKER SQUARE DRIVE, SUITE 2, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
KATHRYN KAELIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401(K) PLAN
|
2021
|
841444886
|
2022-10-07
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
3
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3038058266
|
Plan sponsor’s
address |
19700 E PARKER SQUARE DRIVE, SUITE 2, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
KATHRYN KAELIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401(K) PLAN
|
2021
|
841444886
|
2023-09-27
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3038058266
|
Plan sponsor’s
address |
19700 E PARKER SQUARE DRIVE, SUITE 2, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
KATHRYN KAELIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401(K) PLAN
|
2020
|
841444886
|
2022-08-18
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3038058266
|
Plan sponsor’s
address |
19700 E PARKER SQUARE DRIVE, SUITE 2, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2022-08-18 |
Name of individual signing |
KATHRYN KAELIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401(K) PLAN
|
2020
|
841444886
|
2021-10-14
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
3
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3038058266
|
Plan sponsor’s
address |
19700 E PARKER SQUARE DRIVE, SUITE 2, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
KATHRYN KAELIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401K PLAN
|
2014
|
841444886
|
2016-02-08
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037349463
|
Plan sponsor’s
address |
19700 E. PARKER SQUARE DRIVE, #2, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2016-02-08 |
Name of individual signing |
TARA GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-08 |
Name of individual signing |
TARA GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401K PLAN
|
2012
|
841444886
|
2013-07-12
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037349463
|
Plan sponsor’s
address |
19700 E. PARKER SQUARE DRIVE, #2, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
JENNY LAYTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401K PLAN
|
2010
|
841444886
|
2011-07-08
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037349463
|
Plan sponsor’s
address |
708 E. HUNTINGTON PLACE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
841444886 |
Plan administrator’s name |
KATHRYN KUTTER KAELIN, D.M.D., P.C. |
Plan administrator’s
address |
708 E. HUNTINGTON PLACE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3037349463 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
JENNY LAYTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-08 |
Name of individual signing |
JENNY LAYTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401K PLAN
|
2009
|
841444886
|
2012-01-05
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037349463
|
Plan sponsor’s
address |
708 E. HUNTINGTON PLACE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
841444886 |
Plan administrator’s name |
KATHRYN KUTTER KAELIN, D.M.D., P.C. |
Plan administrator’s
address |
708 E. HUNTINGTON PLACE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3037349463 |
Signature of
Role |
Plan administrator |
Date |
2012-01-05 |
Name of individual signing |
JENNY LAYTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-05 |
Name of individual signing |
JENNY LAYTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN KUTTER KAELIN, D.M.D., P.C. 401K PLAN
|
2009
|
841444886
|
2010-10-14
|
KATHRYN KUTTER KAELIN, D.M.D., P.C.
|
0
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3037349463
|
Plan sponsor’s
address |
708 E. HUNTINGTON PLACE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
841444886 |
Plan administrator’s name |
KATHRYN KUTTER KAELIN, D.M.D., P.C. |
Plan administrator’s
address |
708 E. HUNTINGTON PLACE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3037349463 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
STEVE R. PERKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|