FOX POINT DENTAL, LLC 401K PLAN
|
2021
|
853103805
|
2022-06-17
|
FOX POINT DENTAL, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2073373864
|
Plan sponsor’s
address |
13701 W JEWELL AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2022-06-17 |
Name of individual signing |
ELIZABETH TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2020
|
853103805
|
2021-06-27
|
FOX POINT DENTAL, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2073373864
|
Plan sponsor’s
address |
13701 W JEWELL AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2021-06-27 |
Name of individual signing |
ELIZABETH TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-27 |
Name of individual signing |
ELIZABETH TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2019
|
753089984
|
2020-05-14
|
FOX POINT DENTAL, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039893192
|
Plan sponsor’s
address |
14283 W. BALTIC AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2020-05-14 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-14 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2019
|
753089984
|
2020-05-14
|
FOX POINT DENTAL, LLC
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039893192
|
Plan sponsor’s
address |
14283 W. BALTIC AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2020-05-14 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-14 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2018
|
753089984
|
2019-05-22
|
FOX POINT DENTAL, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039893192
|
Plan sponsor’s
address |
14283 W. BALTIC AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2019-05-22 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2017
|
753089984
|
2018-05-08
|
FOX POINT DENTAL, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039893192
|
Plan sponsor’s
address |
14283 W. BALTIC AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2018-05-08 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2016
|
753089984
|
2017-05-25
|
FOX POINT DENTAL, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039893192
|
Plan sponsor’s
address |
14283 W. BALTIC AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2017-05-25 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-25 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2015
|
753089984
|
2016-05-20
|
FOX POINT DENTAL, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039893192
|
Plan sponsor’s
address |
14283 W. BALTIC AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2016-05-20 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2014
|
753089984
|
2015-10-23
|
FOX POINT DENTAL, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039893192
|
Plan sponsor’s
address |
14283 W. BALTIC AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2015-10-23 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-23 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX POINT DENTAL, LLC 401K PLAN
|
2014
|
753089984
|
2015-04-02
|
FOX POINT DENTAL, LLC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3039893192
|
Plan sponsor’s
address |
14283 W. BALTIC AVE, LAKEWOOD, CO, 80228
|
Signature of
Role |
Plan administrator |
Date |
2015-04-02 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-02 |
Name of individual signing |
BRUCE G BALDWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|