AXIOM DENTAL GROUP, P.C. 401(K) PLAN
|
2018
|
200372370
|
2019-08-29
|
AXIOM DENTAL GROUP, P.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE STE 305, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2019-08-29 |
Name of individual signing |
GUNJAN KALRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401(K) PLAN
|
2018
|
200372370
|
2019-06-22
|
AXIOM DENTAL GROUP, P.C
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE STE 305, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2019-06-22 |
Name of individual signing |
KALRA GUNJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401(K) PLAN
|
2017
|
200372370
|
2018-06-07
|
AXIOM DENTAL GROUP, P.C
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE STE 305, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2018-06-07 |
Name of individual signing |
KALRA GUNJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401(K) PLAN
|
2016
|
200372370
|
2017-06-28
|
AXIOM DENTAL GROUP, P.C
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE STE 305, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
KALRA GUNJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401K PLAN
|
2015
|
200372370
|
2016-04-20
|
AXIOM DENTAL GROUP, P.C
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036384655
|
Plan sponsor’s
address |
12510 E ILIFF AVE, STE 305, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2016-04-20 |
Name of individual signing |
GUNJAN KALRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401K PLAN
|
2014
|
200372370
|
2015-08-26
|
AXIOM DENTAL GROUP, P.C
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE, STE 305, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2015-08-26 |
Name of individual signing |
KALRA GUNJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401K PLAN
|
2013
|
200372370
|
2014-06-11
|
AXIOM DENTAL GROUP, P.C
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE, STE 305, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2014-06-11 |
Name of individual signing |
KALRA GUNJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401K PLAN
|
2012
|
200372370
|
2013-07-07
|
AXIOM DENTAL GROUP, P.C
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE, STE 305, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2013-07-07 |
Name of individual signing |
KALRA GUNJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401K PLAN
|
2011
|
200372370
|
2012-06-29
|
AXIOM DENTAL GROUP, P.C
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE, STE 305, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
200372370 |
Plan administrator’s name |
AXIOM DENTAL GROUP, P.C |
Plan administrator’s
address |
12510 E ILIFF AVE, STE 305, AURORA, CO, 80014 |
Administrator’s telephone number |
3036950102 |
Signature of
Role |
Plan administrator |
Date |
2012-06-29 |
Name of individual signing |
KALRA GUNJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AXIOM DENTAL GROUP, P.C. 401K PLAN
|
2010
|
200372370
|
2011-08-10
|
AXIOM DENTAL GROUP, P.C
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3036950102
|
Plan sponsor’s
address |
12510 E ILIFF AVE, STE 305, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
200372370 |
Plan administrator’s name |
AXIOM DENTAL GROUP, P.C |
Plan administrator’s
address |
12510 E ILIFF AVE, STE 305, AURORA, CO, 80014 |
Administrator’s telephone number |
3036950102 |
Signature of
Role |
Plan administrator |
Date |
2011-08-10 |
Name of individual signing |
KALRA GUNJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|