|
DIANNE C. STONE, M.D., P.C. 401K PLAN AND TRUST
|
2012
|
841585722
|
2013-04-22
|
DIANNE C. STONE, M.D., P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3039407015
|
| Plan sponsor’s
address |
3003 E. 3RD AVE., SUITE 206, DENVER, CO, 80206
|
Signature of
| Role |
Plan administrator |
| Date |
2013-04-22 |
| Name of individual signing |
DIANNE C. STONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DIANNE C. STONE, M.D., P.C. 401K PLAN AND TRUST
|
2012
|
841585722
|
2013-10-09
|
DIANNE C. STONE, M.D., P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3039407015
|
| Plan sponsor’s
address |
3003 E. 3RD AVE., SUITE 206, DENVER, CO, 80206
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-09 |
| Name of individual signing |
DIANNE C. STONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DIANNE C. STONE, M.D., P.C. 401K PLAN AND TRUST
|
2011
|
841585722
|
2012-10-02
|
DIANNE C. STONE, M.D., P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3039407015
|
| Plan sponsor’s
address |
6870 W 52ND AVE STE 210, ARVADA, CO, 800023953
|
Plan administrator’s name and address
| Administrator’s EIN |
841585722 |
| Plan administrator’s name |
DIANNE C. STONE, M.D., P.C. |
| Plan administrator’s
address |
6870 W 52ND AVE STE 210, ARVADA, CO, 800023953 |
| Administrator’s telephone number |
3039407015 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-02 |
| Name of individual signing |
DIANNE C. STONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DIANNE C. STONE, M.D., P.C. 401K PLAN AND TRUST
|
2010
|
841585722
|
2011-08-22
|
DIANNE C. STONE, M.D., P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3039407015
|
| Plan sponsor’s
address |
6870 W 52ND AVE STE 210, ARVADA, CO, 800023953
|
Plan administrator’s name and address
| Administrator’s EIN |
841585722 |
| Plan administrator’s name |
DIANNE C. STONE, M.D., P.C. |
| Plan administrator’s
address |
6870 W 52ND AVE STE 210, ARVADA, CO, 800023953 |
| Administrator’s telephone number |
3039407015 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-22 |
| Name of individual signing |
DIANNE C. STONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
