STACEY FOLK M D P C 401 K PROFIT SHARING PLAN TRUST
|
2013
|
841556961
|
2014-05-08
|
STACEY FOLK M D P C
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033216608
|
Plan sponsor’s
address |
4545 E 9TH AVE STE 210, DENVER, CO, 802203909
|
Signature of
Role |
Plan administrator |
Date |
2014-05-08 |
Name of individual signing |
LINDA L. DOERKSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STACEY FOLK M D P C 401 K PROFIT SHARING PLAN TRUST
|
2012
|
841556961
|
2013-07-08
|
STACEY FOLK M D P C
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033216608
|
Plan sponsor’s
address |
4700 HALE PARKWAY, SUITE 520, DENVER, CO, 802203909
|
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
STACEY FOLK M D P C |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STACEY FOLK M D P C 401 K PROFIT SHARING PLAN TRUST
|
2011
|
841556961
|
2012-07-05
|
STACEY FOLK M D P C
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033216608
|
Plan sponsor’s
address |
4545 E 9TH AVE STE 210, DENVER, CO, 802203909
|
Plan administrator’s name and address
Administrator’s EIN |
841556961 |
Plan administrator’s name |
STACEY FOLK M D P C |
Plan administrator’s
address |
4545 E 9TH AVE STE 210, DENVER, CO, 802203909 |
Administrator’s telephone number |
3033216608 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
STACEY FOLK M D P C |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STACEY FOLK M D P C 401 K PROFIT SHARING PLAN TRUST
|
2010
|
841556961
|
2011-07-13
|
STACEY FOLK M D P C
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033216608
|
Plan sponsor’s
address |
4545 E 9TH STREET STE 210, DENVER, CO, 80220
|
Plan administrator’s name and address
Administrator’s EIN |
841556961 |
Plan administrator’s name |
STACEY FOLK M D P C |
Plan administrator’s
address |
4545 E 9TH STREET STE 210, DENVER, CO, 80220 |
Administrator’s telephone number |
3033216608 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
STACEY FOLK M D P C |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STACEY FOLK M D P C
|
2009
|
841556961
|
2010-07-19
|
STACEY FOLK M D P C
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033216608
|
Plan sponsor’s
address |
4545 E 9TH STREET STE 210, DENVER, CO, 80220
|
Plan administrator’s name and address
Administrator’s EIN |
841556961 |
Plan administrator’s name |
STACEY FOLK M D P C |
Plan administrator’s
address |
4545 E 9TH STREET STE 210, DENVER, CO, 80220 |
Administrator’s telephone number |
3033216608 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
STACEY FOLK M D P C |
Valid signature |
Filed with authorized/valid electronic signature |
|
|