DALTON CLINIC OF CHIROPRACTIC PROFIT SHARING TRUST
|
2020
|
840835485
|
2021-02-12
|
DALTON CLINIC OF CHIROPRACTIC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s mailing address |
2228 S FRASER ST UNIT 5, AURORA, CO, 800144522
|
Plan sponsor’s
address |
2228 S FRASER ST UNIT 5, AURORA, CO, 800144522
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-02-12 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALTON CLINIC OF CHIROPRACTIC PROFIT SHARING TRUST
|
2017
|
840835485
|
2018-07-30
|
DALTON CLINIC OF CHIROPRACTIC
|
1
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s mailing address |
2228 S FRASER ST UNIT 5, AURORA, CO, 800144522
|
Plan sponsor’s
address |
2228 S FRASER ST UNIT 5, AURORA, CO, 800144522
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALTON CLINIC OF CHIROPRACTIC PROFIT SHARING TRUST
|
2016
|
840835485
|
2017-07-30
|
DALTON CLINIC OF CHIROPRACTIC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s mailing address |
2226 S FRASER ST UNIT 5, AURORA, CO, 800144534
|
Plan sponsor’s
address |
2226 S FRASER ST UNIT 5, AURORA, CO, 800144534
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-30 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-30 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALTON CLINIC OF CHIROPRACTIC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
593774977
|
2017-06-16
|
DALTON CLINIC OF CHIROPRACTIC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s
address |
2226 S FRASER STREET UNIT 5, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2017-06-16 |
Name of individual signing |
ROSINA DALTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALTON CLINIC OF CHIROPRACTIC PROFIT SHARING TRUST
|
2015
|
840835485
|
2016-07-28
|
DALTON CLINIC OF CHIROPRACTIC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s mailing address |
2226 S FRASER ST UNIT 5, AURORA, CO, 800144534
|
Plan sponsor’s
address |
2226 S FRASER ST UNIT 5, AURORA, CO, 800144534
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALTON CLINIC OF CHIROPRACTIC PROFIT SHARING TRUST
|
2014
|
840835485
|
2015-07-31
|
DALTON CLINIC OF CHIROPRACTIC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s mailing address |
2226 SO. FRASER ST. UNIT 5, AURORA, CO, 80014
|
Plan sponsor’s
address |
2226 SO. FRASER ST. UNIT 5, AURORA, CO, 80014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALTON CLINIC OF CHIROPRACTIC PROFIT SHARING TRUST
|
2013
|
840835485
|
2014-07-28
|
DALTON CLINIC OF CHIROPRACTIC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s mailing address |
2226 SO. FRASER ST. UNIT 5, AURORA, CO, 80014
|
Plan sponsor’s
address |
2226 SO. FRASER ST. UNIT 5, AURORA, CO, 80014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALTON CLINIC OF CHIROPRACTIC PROFIT SHARING TRUST
|
2012
|
840835485
|
2013-07-29
|
DALTON CLINIC OF CHIROPRACTIC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s mailing address |
2226 SOUTH FRASER STREET UNIT 5, AURORA, CO, 80014
|
Plan sponsor’s
address |
2226 SOUTH FRASER STREET UNIT 5, AURORA, CO, 80014
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DALTON CLINIC OF CHIROPRACTIC PROFIT SHARING TRUST
|
2011
|
840835485
|
2012-09-16
|
DALTON CLINIC OF CHIROPRACTIC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3036951609
|
Plan sponsor’s mailing address |
2226 SOUTH FRASER STREET UNIT 5, AURORA, CO, 80014
|
Plan sponsor’s
address |
2226 SOUTH FRASER STREET UNIT 5, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
840835485 |
Plan administrator’s name |
DALTON CLINIC OF CHIROPRACTIC |
Plan administrator’s
address |
2226 SOUTH FRASER STREET UNIT 5, AURORA, CO, 80014 |
Administrator’s telephone number |
3036951609 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-09-16 |
Name of individual signing |
MARILYN BURNSIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|