ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2023
|
841519699
|
2024-10-08
|
ROCKY MOUNTAIN CARE SYSTEMS, INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
3039023999
|
Plan sponsor’s
address |
12650 W 64TH AVE. UNIT E #419, ARVADA, CO, 80004
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2022
|
841519699
|
2023-09-01
|
ROCKY MOUNTAIN CARE SYSTEMS
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
3039023999
|
Plan sponsor’s
address |
12650 W 64TH AVE. UNIT E #419, 2976 COUNTY ROAD 61, ARVADA, CO, 80004
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2023-09-01 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2021
|
841519699
|
2022-05-19
|
ROCKY MOUNTAIN CARE SYSTEMS
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
9185426671
|
Plan sponsor’s
address |
PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2022-05-19 |
Name of individual signing |
TARA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2020
|
841519699
|
2021-04-20
|
ROCKY MOUNTAIN CARE SYSTEMS
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
9185426671
|
Plan sponsor’s
address |
PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2021-04-20 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2019
|
841519699
|
2020-07-21
|
ROCKY MOUNTAIN CARE SYSTEMS
|
53
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
9185426671
|
Plan sponsor’s
address |
PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2020-07-21 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2019
|
841519699
|
2021-04-15
|
ROCKY MOUNTAIN CARE SYSTEMS
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
9185426671
|
Plan sponsor’s
address |
PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2021-04-15 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2018
|
841519699
|
2019-05-20
|
ROCKY MOUNTAIN CARE SYSTEMS
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
9185426671
|
Plan sponsor’s
address |
PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2019-05-20 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2017
|
841519699
|
2018-06-13
|
ROCKY MOUNTAIN CARE SYSTEMS
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
9185426671
|
Plan sponsor’s
address |
PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Signature of
Role |
Plan administrator |
Date |
2018-06-13 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN
|
2017
|
841519699
|
2019-05-14
|
ROCKY MOUNTAIN CARE SYSTEMS
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
9185426671
|
Plan sponsor’s
address |
PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Signature of
Role |
Plan administrator |
Date |
2019-05-14 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|