GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2022
|
841505075
|
2024-09-20
|
GRAND VALLEY SURGICAL CENTER, LLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2024-09-20 |
Name of individual signing |
MARDI MORRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2021
|
841505075
|
2022-10-17
|
GRAND VALLEY SURGICAL CENTER, LLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
AMY HANISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2020
|
841505075
|
2021-04-30
|
GRAND VALLEY SURGICAL CENTER, LLC
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2021-04-30 |
Name of individual signing |
BETSY RADCA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2019
|
841505075
|
2020-07-15
|
GRAND VALLEY SURGICAL CENTER, LLC
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
MITCHELL SCHWARZBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2018
|
841505075
|
2019-06-18
|
GRAND VALLEY SURGICAL CENTER, LLC
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
MITCHELL SCHWARZBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2017
|
841505075
|
2018-07-20
|
GRAND VALLEY SURGICAL CENTER, LLC
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
|
Signature of
Role |
Plan administrator |
Date |
2018-07-20 |
Name of individual signing |
BETSY RADCA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2016
|
841505075
|
2017-09-13
|
GRAND VALLEY SURGICAL CENTER, LLC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
841505075 |
Plan administrator’s name |
GRAND VALLEY SURGICAL CENTER, LLC |
Plan administrator’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501 |
Administrator’s telephone number |
9702987800 |
Signature of
Role |
Plan administrator |
Date |
2017-09-13 |
Name of individual signing |
BETSY RADCA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2015
|
841505075
|
2016-05-31
|
GRAND VALLEY SURGICAL CENTER, LLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
841505075 |
Plan administrator’s name |
GRAND VALLEY SURGICAL CENTER, LLC |
Plan administrator’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501 |
Administrator’s telephone number |
9702987800 |
Signature of
Role |
Plan administrator |
Date |
2016-05-31 |
Name of individual signing |
BETSY RADCA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2014
|
841505075
|
2015-06-16
|
GRAND VALLEY SURGICAL CENTER, LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
841505075 |
Plan administrator’s name |
GRAND VALLEY SURGICAL CENTER, LLC |
Plan administrator’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501 |
Administrator’s telephone number |
9702987800 |
Signature of
Role |
Plan administrator |
Date |
2015-06-16 |
Name of individual signing |
BETSY RADCA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST
|
2013
|
841505075
|
2014-07-31
|
GRAND VALLEY SURGICAL CENTER, LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9702987800
|
Plan sponsor’s
address |
C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
841505075 |
Plan administrator’s name |
GRAND VALLEY SURGICAL CENTER, LLC |
Plan administrator’s
address |
710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501 |
Administrator’s telephone number |
9702987800 |
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
ELIZABETH RADCA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|