|
BYRON R.BEARD, DMD 401(K) PLAN
|
2010
|
481267073
|
2013-02-07
|
BYRON R. BEARD, DMD
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7195473737
|
| Plan sponsor’s
address |
50 E. HAHNS PEAK AVE, SUITE A, PUEBLO, CO, 81007
|
Plan administrator’s name and address
| Administrator’s EIN |
452621796 |
| Plan administrator’s name |
TAYLOR WELCH |
| Plan administrator’s
address |
PO BOX 10595, BAINBRIDGE ISLAND, WA, 98110 |
| Administrator’s telephone number |
2062007880 |
Signature of
| Role |
Plan administrator |
| Date |
2013-02-07 |
| Name of individual signing |
TAYLOR WELCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BYRON R. BEARD, DMD 401(K) PLAN
|
2009
|
481267073
|
2010-08-03
|
BYRON R. BEARD, DMD
|
8
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7195473737
|
| Plan sponsor’s
address |
50 E. HAHNS PEAK AVE., STE A, PUEBLO, CO, 81007
|
Plan administrator’s name and address
| Administrator’s EIN |
481267073 |
| Plan administrator’s name |
BYRON R. BEARD, DMD |
| Plan administrator’s
address |
50 E. HAHNS PEAK AVE., STE A, PUEBLO, CO, 81007 |
| Administrator’s telephone number |
7195473737 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-03 |
| Name of individual signing |
BYRON R. BEARD |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-03 |
| Name of individual signing |
BYRON R. BEARD |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
BYRON R. BEARD, DMD 401(K) PLAN
|
2009
|
481267073
|
2011-02-16
|
BYRON R. BEARD, DMD
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7195473737
|
| Plan sponsor’s
address |
50 E. HAHNS PEAK AVE., STE A, PUEBLO, CO, 81007
|
Plan administrator’s name and address
| Administrator’s EIN |
481267073 |
| Plan administrator’s name |
BYRON R. BEARD, DMD |
| Plan administrator’s
address |
50 E. HAHNS PEAK AVE., STE A, PUEBLO, CO, 81007 |
| Administrator’s telephone number |
7195473737 |
Signature of
| Role |
Plan administrator |
| Date |
2011-02-16 |
| Name of individual signing |
BYRON R. BEARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-02-16 |
| Name of individual signing |
BYRON R. BEARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
