NORTH COLORADO UROLOGY, P.C. 401(K) PLAN
|
2011
|
841517386
|
2012-02-02
|
NORTH COLORADO UROLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9703781000
|
Plan sponsor’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634
|
Plan administrator’s name and address
Administrator’s EIN |
841517386 |
Plan administrator’s name |
NORTH COLORADO UROLOGY, P.C. |
Plan administrator’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634 |
Administrator’s telephone number |
9703781000 |
Signature of
Role |
Plan administrator |
Date |
2012-02-02 |
Name of individual signing |
LANA WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-02 |
Name of individual signing |
JAMES WOLACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COLORADO UROLOGY, P.C. 401(K) PLAN
|
2010
|
841517386
|
2011-11-17
|
NORTH COLORADO UROLOGY, P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9703781000
|
Plan sponsor’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634
|
Plan administrator’s name and address
Administrator’s EIN |
841517386 |
Plan administrator’s name |
NORTH COLORADO UROLOGY, P.C. |
Plan administrator’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634 |
Administrator’s telephone number |
9703781000 |
Signature of
Role |
Plan administrator |
Date |
2011-11-16 |
Name of individual signing |
LANA WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-16 |
Name of individual signing |
JAMES WOLACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COLORADO UROLOGY, P.C. 401(K) PLAN
|
2010
|
841517386
|
2011-11-16
|
NORTH COLORADO UROLOGY, P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9703781000
|
Plan sponsor’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634
|
Plan administrator’s name and address
Administrator’s EIN |
841517386 |
Plan administrator’s name |
NORTH COLORADO UROLOGY, P.C. |
Plan administrator’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634 |
Administrator’s telephone number |
9703781000 |
Signature of
Role |
Plan administrator |
Date |
2011-11-16 |
Name of individual signing |
LANA WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-16 |
Name of individual signing |
JAMES WOLACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COLORADO UROLOGY, P.C. 401(K) PLAN
|
2010
|
841517386
|
2011-12-02
|
NORTH COLORADO UROLOGY, P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9703781000
|
Plan sponsor’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634
|
Plan administrator’s name and address
Administrator’s EIN |
841517386 |
Plan administrator’s name |
NORTH COLORADO UROLOGY, P.C. |
Plan administrator’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634 |
Administrator’s telephone number |
9703781000 |
Signature of
Role |
Plan administrator |
Date |
2011-11-16 |
Name of individual signing |
LANA WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-16 |
Name of individual signing |
JAMES WOLACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COLORADO UROLOGY, P.C. 401(K) PLAN
|
2010
|
841517386
|
2011-05-26
|
NORTH COLORADO UROLOGY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9703781000
|
Plan sponsor’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634
|
Plan administrator’s name and address
Administrator’s EIN |
841517386 |
Plan administrator’s name |
NORTH COLORADO UROLOGY, P.C. |
Plan administrator’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634 |
Administrator’s telephone number |
9703781000 |
Signature of
Role |
Plan administrator |
Date |
2011-05-26 |
Name of individual signing |
LANA WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-26 |
Name of individual signing |
JAMES WOLACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH COLORADO UROLOGY, P.C. 401(K) PLAN
|
2009
|
841517386
|
2010-05-28
|
NORTH COLORADO UROLOGY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9703781000
|
Plan sponsor’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634
|
Plan administrator’s name and address
Administrator’s EIN |
841517386 |
Plan administrator’s name |
NORTH COLORADO UROLOGY, P.C. |
Plan administrator’s
address |
5890 WEST 13TH STREET, SUITE 106, GREELEY, CO, 80634 |
Administrator’s telephone number |
9703781000 |
Signature of
Role |
Plan administrator |
Date |
2010-05-28 |
Name of individual signing |
LANA WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-28 |
Name of individual signing |
JAMES WOLACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|