ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2021
|
841533154
|
2022-06-15
|
ADVANCED EAR, NOSE & THROAT
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2022-06-15 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-15 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2021
|
841533154
|
2022-06-16
|
ADVANCED EAR, NOSE & THROAT
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2022-06-16 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-16 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2020
|
841533154
|
2021-09-07
|
ADVANCED EAR, NOSE & THROAT
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2021-09-05 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-05 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2019
|
841533154
|
2020-08-12
|
ADVANCED EAR, NOSE & THROAT
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2020-08-12 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-12 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2018
|
841533154
|
2019-10-10
|
ADVANCED EAR, NOSE & THROAT
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-10 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2017
|
841533154
|
2018-10-02
|
ADVANCED EAR, NOSE & THROAT
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2018-10-02 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-02 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2016
|
841533154
|
2017-10-04
|
ADVANCED EAR, NOSE & THROAT
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2017-10-04 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-04 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2015
|
841533154
|
2016-09-13
|
ADVANCED EAR, NOSE & THROAT
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2016-09-08 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2014
|
841533154
|
2015-10-09
|
ADVANCED EAR, NOSE & THROAT
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
MICHAEL MENACHOF, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
MICHAEL MENACHOF, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EAR, NOSE & THROAT DEFINED BENEFIT PLAN
|
2013
|
841533154
|
2014-09-26
|
ADVANCED EAR, NOSE & THROAT
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3037923838
|
Plan sponsor’s
address |
7400 E CRESTLINE CIRCLE #100, GREENWOOD VILLAGE, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2014-09-26 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-26 |
Name of individual signing |
MICHAEL MENACHOF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|