|
BACK ON TRACK P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
841539022
|
2012-10-04
|
BACK ON TRACK P.C.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-10-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
9703012726
|
| Plan sponsor’s
address |
620 S. LEMAY AVE., FORT COLLINS, CO, 80524
|
Plan administrator’s name and address
| Administrator’s EIN |
841539022 |
| Plan administrator’s name |
BACK ON TRACK P.C. |
| Plan administrator’s
address |
620 S. LEMAY AVE., FORT COLLINS, CO, 80524 |
| Administrator’s telephone number |
9703012726 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-04 |
| Name of individual signing |
KEVIN YOUNGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-04 |
| Name of individual signing |
KEVIN YOUNGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BACK ON TRACK, P.C. 401K PROFIT SHARING PLAN
|
2010
|
841539022
|
2011-07-29
|
BACK ON TRACK, P.C.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-10-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
9703013726
|
| Plan sponsor’s
address |
620 SOUTH LEMAY AVENUE, FORT COLLINS, CO, 80524
|
Plan administrator’s name and address
| Administrator’s EIN |
841539022 |
| Plan administrator’s name |
BACK ON TRACK, P.C. |
| Plan administrator’s
address |
620 SOUTH LEMAY AVENUE, FORT COLLINS, CO, 80524 |
| Administrator’s telephone number |
9703013726 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
KEVIN YOUNGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-29 |
| Name of individual signing |
KEVIN YOUNGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BACK ON TRACK, P.C. 401K PROFIT SHARING PLAN
|
2009
|
841539022
|
2010-10-06
|
BACK ON TRACK, P.C.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-10-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
9704951179
|
| Plan sponsor’s
address |
620 SOUTH LEMAY AVENUE, FORT COLLINS, CO, 80524
|
Plan administrator’s name and address
| Administrator’s EIN |
841539022 |
| Plan administrator’s name |
BACK ON TRACK, P.C. |
| Plan administrator’s
address |
620 SOUTH LEMAY AVENUE, FORT COLLINS, CO, 80524 |
| Administrator’s telephone number |
9704951179 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
KEVIN YOUNGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-06 |
| Name of individual signing |
KEVIN YOUNGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
