ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2017
|
841445025
|
2018-06-14
|
ROCKY MOUNTAIN OB-GYN P.C.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 EAST 9TH AVENUE SUITE 200, DENVER, CO, 80220
|
Signature of
Role |
Plan administrator |
Date |
2018-06-14 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2016
|
841445025
|
2017-09-08
|
ROCKY MOUNTAIN OB-GYN P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 EAST 9TH AVENUE SUITE 200, DENVER, CO, 80220
|
Signature of
Role |
Plan administrator |
Date |
2017-09-08 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-08 |
Name of individual signing |
DANIEL JACOBSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2016
|
841445025
|
2018-01-19
|
ROCKY MOUNTAIN OB-GYN P.C.
|
36
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 EAST 9TH AVENUE SUITE 200, DENVER, CO, 80220
|
Signature of
Role |
Plan administrator |
Date |
2018-01-19 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-19 |
Name of individual signing |
DANIEL JACOBSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2015
|
841445025
|
2016-09-01
|
ROCKY MOUNTAIN OB-GYN P.C.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 EAST 9TH AVENUE SUITE 200, DENVER, CO, 80220
|
Signature of
Role |
Plan administrator |
Date |
2016-09-01 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-01 |
Name of individual signing |
HAL B LEVY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P. C. 401K PLAN
|
2014
|
841445025
|
2015-08-28
|
ROCKY MOUNTAIN OB-GYN P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 EAST 9TH AVENUE SUITE 200-S, DENVER, CO, 80220
|
Signature of
Role |
Plan administrator |
Date |
2015-08-28 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-28 |
Name of individual signing |
HAL B LEVY MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2013
|
841445025
|
2014-06-20
|
ROCKY MOUNTAIN OB-GYN P.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 EAST 9TH AVENUE SUITE 200-S, DENVER, CO, 80220
|
Signature of
Role |
Plan administrator |
Date |
2014-06-20 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-20 |
Name of individual signing |
HAL B LEVY MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2012
|
841445025
|
2013-07-15
|
ROCKY MOUNTAIN OB-GYN P.C.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 EAST 9TH AVENUE SUITE 200-S, DENVER, CO, 80220
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
HAL B LEVY MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2011
|
841445025
|
2012-05-16
|
ROCKY MOUNTAIN OB-GYN P.C.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 EAST 9TH AVENUE SUITE 200-S, DENVER, CO, 80220
|
Plan administrator’s name and address
Administrator’s EIN |
841445025 |
Plan administrator’s name |
ROCKY MOUNTAIN OB-GYN P.C. |
Plan administrator’s
address |
4500 EAST 9TH AVENUE SUITE 200-S, DENVER, CO, 80220 |
Administrator’s telephone number |
3033998778 |
Signature of
Role |
Plan administrator |
Date |
2012-05-16 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-16 |
Name of individual signing |
HAL B LEVY MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2010
|
841445025
|
2011-08-05
|
ROCKY MOUNTAIN OB-GYN P.C.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 E. 9TH AVE. STE. 200-S, DENVER, CO, 80220
|
Plan administrator’s name and address
Administrator’s EIN |
841445025 |
Plan administrator’s name |
ROCKY MOUNTAIN OB-GYN P.C. |
Plan administrator’s
address |
4500 E. 9TH AVE. STE. 200-S, DENVER, CO, 80220 |
Administrator’s telephone number |
3033998778 |
Signature of
Role |
Plan administrator |
Date |
2011-08-05 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-05 |
Name of individual signing |
HAL B LEVY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN OB-GYN P.C. 401K PLAN
|
2009
|
841445025
|
2010-07-22
|
ROCKY MOUNTAIN OB-GYN P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033998778
|
Plan sponsor’s
address |
4500 E. 9TH AVE. STE. 200-S, DENVER, CO, 80220
|
Plan administrator’s name and address
Administrator’s EIN |
841445025 |
Plan administrator’s name |
ROCKY MOUNTAIN OB-GYN P.C. |
Plan administrator’s
address |
4500 E. 9TH AVE. STE. 200-S, DENVER, CO, 80220 |
Administrator’s telephone number |
3033998778 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
BARBARA NICHOLAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-22 |
Name of individual signing |
HAL B LEVY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|