|
HAGEN & MELUSKY, INC. 401(K) PLAN
|
2017
|
760727343
|
2018-04-02
|
HAGEN & MELUSKY, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
9706866618
|
| Plan sponsor’s
address |
7785 HIGHLAND MEADOWS PARKWAY, SUITE 203, WINDSOR, CO, 80528
|
Signature of
| Role |
Plan administrator |
| Date |
2018-04-02 |
| Name of individual signing |
DAVID MELUSKY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HAGEN & MELUSKY, INC. 401(K) PLAN
|
2016
|
760727343
|
2017-06-26
|
HAGEN & MELUSKY, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
9706866618
|
| Plan sponsor’s
address |
7785 HIGHLAND MEADOWS PARKWAY, SUI, WINDSOR, CO, 80528
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-26 |
| Name of individual signing |
DAVID MELUSKY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HAGEN & MELUSKY, INC. 401(K) PLAN
|
2015
|
760727343
|
2016-09-07
|
HAGEN & MELUSKY, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
9706866618
|
| Plan sponsor’s
address |
7785 HIGHLAND MEADOWS PARKWAY, SUITE 203, WINDSOR, CO, 80528
|
Signature of
| Role |
Plan administrator |
| Date |
2016-09-07 |
| Name of individual signing |
DAVID MELUSKY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HAGEN & MELUSKY, INC. 401K PLAN
|
2012
|
760727343
|
2013-02-04
|
HAGEN & MELUSKY, INC.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
9706866618
|
| Plan sponsor’s
address |
1613 PELICAN LAKES POINT, SUITE B, WINDSOR, CO, 805506238
|
Signature of
| Role |
Plan administrator |
| Date |
2013-02-04 |
| Name of individual signing |
ROBERT HERRERA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HAGEN & MELUSKY, INC. 401K PLAN
|
2011
|
760727343
|
2012-07-12
|
HAGEN & MELUSKY, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
9706866618
|
| Plan sponsor’s
address |
1613 PELICAN LAKES POINT, SUITE B, WINDSOR, CO, 805506238
|
Plan administrator’s name and address
| Administrator’s EIN |
760727343 |
| Plan administrator’s name |
HAGEN & MELUSKY, INC. |
| Plan administrator’s
address |
1613 PELICAN LAKES POINT, SUITE B, WINDSOR, CO, 805506238 |
| Administrator’s telephone number |
9706866618 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-12 |
| Name of individual signing |
JO ANNE HAGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HAGEN & MELUSKY, INC. 401K PLAN
|
2010
|
760727343
|
2011-05-12
|
HAGEN & MELUSKY, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
9706866618
|
| Plan sponsor’s
address |
1613 PELICAN LAKES POINT, SUITE B, WINDSOR, CO, 805506238
|
Plan administrator’s name and address
| Administrator’s EIN |
760727343 |
| Plan administrator’s name |
HAGEN & MELUSKY, INC. |
| Plan administrator’s
address |
1613 PELICAN LAKES POINT, SUITE B, WINDSOR, CO, 805506238 |
| Administrator’s telephone number |
9706866618 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-12 |
| Name of individual signing |
JO ANNE HAGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
