DR. DAVID W. HAMULA P.C. SAFE HARBOR 401(K) PLAN
|
2015
|
841520651
|
2016-07-11
|
DR. DAVID W. HAMULA, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7194883737
|
Plan sponsor’s
address |
1860 WOODMOOR DRIVE SUITE 200, MONUMENT, CO, 80132
|
Signature of
Role |
Plan administrator |
Date |
2016-05-25 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-25 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR DAVID W HAMULA PC SAFE HARBOR 401K PLAN
|
2014
|
841520651
|
2015-09-22
|
DR. DAVID W. HAMULA, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7194883737
|
Plan sponsor’s
address |
1860 WOODMOOR DRIVE SUITE 200, MONUMENT, CO, 80132
|
Signature of
Role |
Plan administrator |
Date |
2015-09-16 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-16 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. DAVID W. HAMULA P.C. SAFE HARBOR 401(K) PLAN
|
2013
|
841520651
|
2014-09-30
|
DR. DAVID W. HAMULA, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7194883737
|
Plan sponsor’s
address |
1860 WOODMOOR DRIVE, MONUMENT, CO, 801329073
|
Signature of
Role |
Plan administrator |
Date |
2014-09-30 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-30 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. DAVID W. HAMULA P.C. SAFE HARBOR 401(K) PLAN
|
2012
|
841520651
|
2013-07-17
|
DR. DAVID W. HAMULA, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7194883737
|
Plan sponsor’s
address |
1850 WOODMOOR DRIVE SUITE 100, MONUMENT, CO, 80132
|
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-17 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. DAVID W. HAMULA P.C. SAFE HARBOR 401(K) PLAN
|
2011
|
841520651
|
2012-06-20
|
DR. DAVID W. HAMULA, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7194883737
|
Plan sponsor’s
address |
1850 WOODMOOR DRIVE SUITE 100, MONUMENT, CO, 80132
|
Plan administrator’s name and address
Administrator’s EIN |
841520651 |
Plan administrator’s name |
DR. DAVID W. HAMULA, P.C. |
Plan administrator’s
address |
1850 WOODMOOR DRIVE SUITE 100, MONUMENT, CO, 80132 |
Administrator’s telephone number |
7194883737 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-20 |
Name of individual signing |
DAVID W. HAMULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|