BOULDER LABS, INC. 401(K) PLAN
|
2023
|
204056424
|
2024-06-17
|
BOULDER LABS, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
3237062885
|
Plan sponsor’s
address |
SUITE 202, LAFAYETTE, CO, 80026
|
Signature of
Role |
Plan administrator |
Date |
2024-06-17 |
Name of individual signing |
NICHOLAS ROMANYSHYN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2022
|
204056424
|
2023-08-16
|
BOULDER LABS, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
3034751385
|
Plan sponsor’s
address |
1300 PLAZA CT. N, SUITE 202, LAFAYETTE, CO, 80026
|
Signature of
Role |
Plan administrator |
Date |
2023-08-16 |
Name of individual signing |
NICHOLAS ROMANYSHYN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2021
|
204056424
|
2022-10-14
|
BOULDER LABS, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
9702134119
|
Plan sponsor’s
address |
6260 LOOKOUT RD., SUITE 210, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
DAVID VAN WIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2020
|
204056424
|
2021-10-15
|
BOULDER LABS, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
9702134119
|
Plan sponsor’s
address |
6260 LOOKOUT RD., SUITE 210, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
ADAM TORGERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2019
|
204056424
|
2020-07-16
|
BOULDER LABS, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
3036520725
|
Plan sponsor’s
address |
6260 LOOKOUT RD., SUITE 210, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
ADAM TORGERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2018
|
204056424
|
2019-09-24
|
BOULDER LABS, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
3036520725
|
Plan sponsor’s
address |
6260 LOOKOUT RD., BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2019-09-24 |
Name of individual signing |
ADAM TORGERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2017
|
204056424
|
2018-06-01
|
BOULDER LABS, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
3036520725
|
Plan sponsor’s
address |
6260 LOOKOUT RD., BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2018-06-01 |
Name of individual signing |
ADAM TORGERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2016
|
204056424
|
2017-07-20
|
BOULDER LABS, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
3036520725
|
Plan sponsor’s
address |
7105 LA VISTA PL, LONGMONT, CO, 805038714
|
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
ADAM TORGERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2015
|
204056424
|
2016-04-28
|
BOULDER LABS, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
3036520725
|
Plan sponsor’s
address |
7105 LA VISTA PL, LONGMONT, CO, 805038714
|
Signature of
Role |
Plan administrator |
Date |
2016-04-28 |
Name of individual signing |
ADAM TORGERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOULDER LABS, INC. 401(K) PLAN
|
2014
|
204056424
|
2015-04-28
|
BOULDER LABS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
3036520725
|
Plan sponsor’s
address |
6380 BLUEBIRD CT, LONGMONT, CO, 80503
|
Plan administrator’s name and address
Administrator’s EIN |
204056424 |
Plan administrator’s name |
BOULDER LABS, INC. |
Plan administrator’s
address |
6380 BLUEBIRD CT, LONGMONT, CO, 80503 |
Administrator’s telephone number |
3036520725 |
Signature of
Role |
Plan administrator |
Date |
2015-04-28 |
Name of individual signing |
ADAM TORGERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|