HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2021
|
481305694
|
2022-08-02
|
HISTOTOX LABS
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3036335401
|
Plan sponsor’s
address |
2108 55TH ST, SUITE 110, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2022-08-02 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2020
|
481305694
|
2021-07-06
|
HISTOTOX LABS
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3036335401
|
Plan sponsor’s
address |
2108 55TH ST, SUITE 110, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2021-07-06 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2019
|
481305694
|
2021-01-21
|
HISTOTOX LABS
|
16
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3036335401
|
Plan sponsor’s
address |
2108 55TH ST, SUITE 120, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2021-01-21 |
Name of individual signing |
BRITTANY REIMERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2019
|
481305694
|
2021-05-04
|
HISTOTOX LABS
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3036335401
|
Plan sponsor’s
address |
2108 55TH ST, SUITE 120, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2021-05-04 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2018
|
481305694
|
2019-07-09
|
HISTOTOX LABS
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3036335401
|
Plan sponsor’s
address |
2108 55TH ST, SUITE 110, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2019-07-09 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2017
|
481305694
|
2018-06-27
|
HISTOTOX LABS
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
3038189284
|
Plan sponsor’s
address |
2108 55TH ST, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2016
|
481305694
|
2017-06-22
|
HISTOTOX LABS
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
3038189284
|
Plan sponsor’s
address |
2108 55TH ST, SUITE 110, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2017-06-22 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2015
|
481305694
|
2016-06-10
|
HISTOTOX LABS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
3038189284
|
Plan sponsor’s
address |
2108 55TH ST, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2016-06-10 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2014
|
481305694
|
2015-07-01
|
HISTOTOX LABS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
3038189284
|
Plan sponsor’s
address |
2108 55TH ST, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2015-07-01 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOTOX LABS 401 K PROFIT SHARING PLAN TRUST
|
2013
|
481305694
|
2014-10-08
|
HISTOTOX LABS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
3036335401
|
Plan sponsor’s
address |
5541 CENTRAL AVE STE 160, BOULDER, CO, 803012944
|
Signature of
Role |
Plan administrator |
Date |
2014-10-08 |
Name of individual signing |
JON BISHOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|