|
NINTH AVENUE INTERNAL MEDICINE LLC 401K PLAN
|
2023
|
371466787
|
2024-10-01
|
NINTH AVENUE INTERNAL MEDICINE, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-12-09
|
| Business code |
621111
|
| Sponsor’s telephone number |
3033942152
|
| Plan sponsor’s
address |
4500 E 9TH AVENUE, SUITE 140, DENVER, CO, 80220
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-01 |
| Name of individual signing |
DANIEL WITTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-10-01 |
| Name of individual signing |
DANIEL WITTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NINTH AVENUE INTERNAL MEDICINE LLC 401K PLAN
|
2022
|
371466787
|
2023-10-11
|
NINTH AVENUE INTERNAL MEDICINE, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-12-09
|
| Business code |
621111
|
| Sponsor’s telephone number |
3033942152
|
| Plan sponsor’s
address |
4500 E 9TH AVENUE, SUITE 140, DENVER, CO, 80220
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-11 |
| Name of individual signing |
DANIEL WITTEN MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-10-11 |
| Name of individual signing |
DANIEL WITTEN MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NINTH AVENUE INTERNAL MEDICINE LLC 401K PLAN
|
2021
|
371466787
|
2022-10-12
|
NINTH AVENUE INTERNAL MEDICINE, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-12-09
|
| Business code |
621111
|
| Sponsor’s telephone number |
3033942152
|
| Plan sponsor’s
address |
4500 E 9TH AVENUE, SUITE 140, DENVER, CO, 80220
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-12 |
| Name of individual signing |
DANIEL WITTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-10-12 |
| Name of individual signing |
DANIEL WITTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NINTH AVENUE INTERNAL MEDICINE LLC 401K PLAN
|
2020
|
371466787
|
2021-10-12
|
NINTH AVENUE INTERNAL MEDICINE, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-12-09
|
| Business code |
621111
|
| Sponsor’s telephone number |
3033942152
|
| Plan sponsor’s
address |
4500 E 9TH AVENUE, SUITE 140, DENVER, CO, 80220
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-12 |
| Name of individual signing |
DANIEL WITTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NINTH AVENUE INTERNAL MEDICINE LLC 401K PLAN
|
2019
|
371466787
|
2020-06-10
|
NINTH AVENUE INTERNAL MEDICINE, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-12-09
|
| Business code |
621111
|
| Sponsor’s telephone number |
3033942152
|
| Plan sponsor’s
address |
4500 E 9TH AVENUE, SUITE 140, DENVER, CO, 80220
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-10 |
| Name of individual signing |
DANIEL WITTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-06-10 |
| Name of individual signing |
DANIEL WITTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
