SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2023
|
841529601
|
2024-07-01
|
SPRING CREEK DENTAL, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704024919
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 80526
|
Signature of
Role |
Plan administrator |
Date |
2024-07-01 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2022
|
841529601
|
2023-08-31
|
SPRING CREEK DENTAL, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704024919
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 80526
|
Signature of
Role |
Plan administrator |
Date |
2023-08-31 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2022
|
841529601
|
2023-08-03
|
SPRING CREEK DENTAL, PLLC
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704024919
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 80526
|
Signature of
Role |
Plan administrator |
Date |
2023-08-03 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2021
|
841529601
|
2022-06-10
|
SPRING CREEK DENTAL, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704828883
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827
|
Signature of
Role |
Plan administrator |
Date |
2022-06-10 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2020
|
841529601
|
2021-03-25
|
SPRING CREEK DENTAL, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704828883
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827
|
Signature of
Role |
Plan administrator |
Date |
2021-03-25 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2019
|
841529601
|
2020-04-14
|
SPRING CREEK DENTAL, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704828883
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827
|
Signature of
Role |
Plan administrator |
Date |
2020-04-14 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2018
|
841529601
|
2019-07-10
|
SPRING CREEK DENTAL, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704828883
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827
|
Signature of
Role |
Plan administrator |
Date |
2019-07-10 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2017
|
841529601
|
2018-05-04
|
SPRING CREEK DENTAL, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704828883
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827
|
Signature of
Role |
Plan administrator |
Date |
2018-05-04 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2016
|
841529601
|
2017-05-31
|
SPRING CREEK DENTAL, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704828883
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827
|
Signature of
Role |
Plan administrator |
Date |
2017-05-31 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK DENTAL, PLLC 401(K) PLAN
|
2015
|
841529601
|
2016-04-20
|
SPRING CREEK DENTAL, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704828883
|
Plan sponsor’s
address |
2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827
|
Signature of
Role |
Plan administrator |
Date |
2016-04-20 |
Name of individual signing |
KIRSTIN KAINES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|