|
TERRY R. R. BROWN, D.D.S., P.C. 401K PROFIT SHARING PLAN
|
2012
|
043802901
|
2013-07-02
|
TERRY R. R. BROWN, D.D.S., P.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9707283665
|
| Plan sponsor’s mailing address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435
|
| Plan sponsor’s
address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435
|
Plan administrator’s name and address
| Administrator’s EIN |
043802901 |
| Plan administrator’s name |
TERRY R. R. BROWN, D.D.S., P.C. |
| Plan administrator’s
address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435 |
| Administrator’s telephone number |
9707283665 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future 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 |
0 |
| 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 |
2013-07-02 |
| Name of individual signing |
NANCI BROWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TERRY R. R. BROWN, D.D.S., P.C. 401K PROFIT SHARING PLAN
|
2011
|
043802901
|
2012-03-07
|
TERRY R. R. BROWN, D.D.S., P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9707283665
|
| Plan sponsor’s mailing address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435
|
| Plan sponsor’s
address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435
|
Plan administrator’s name and address
| Administrator’s EIN |
043802901 |
| Plan administrator’s name |
TERRY R. R. BROWN, D.D.S., P.C. |
| Plan administrator’s
address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435 |
| Administrator’s telephone number |
9707283665 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| 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 |
7 |
| 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 |
2012-03-07 |
| Name of individual signing |
NANCI BROWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TERRY R. R. BROWN, D.D.S., P.C. 401K PROFIT SHARING PLAN
|
2010
|
043802901
|
2011-06-17
|
TERRY R. R. BROWN, D.D.S., P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9707283665
|
| Plan sponsor’s mailing address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435
|
| Plan sponsor’s
address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435
|
Plan administrator’s name and address
| Administrator’s EIN |
043802901 |
| Plan administrator’s name |
TERRY R. R. BROWN, D.D.S., P.C. |
| Plan administrator’s
address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435 |
| Administrator’s telephone number |
9707283665 |
Number of participants as of the end of the plan year
| Active participants |
7 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| 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 |
7 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-17 |
| Name of individual signing |
NANCI BROWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TERRY R. R. BROWN, D.D.S., P.C. 401K PROFIT SHARING PLAN
|
2009
|
043802901
|
2010-05-30
|
TERRY R. R. BROWN, D.D.S., P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9707283665
|
| Plan sponsor’s mailing address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435
|
| Plan sponsor’s
address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435
|
Plan administrator’s name and address
| Administrator’s EIN |
043802901 |
| Plan administrator’s name |
TERRY R. R. BROWN, D.D.S., P.C. |
| Plan administrator’s
address |
101 E. COLORADO, SUITE 202, TELLURIDE, CO, 81435 |
| Administrator’s telephone number |
9707283665 |
Number of participants as of the end of the plan year
| Active participants |
9 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future 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 |
8 |
| 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 |
2010-05-30 |
| Name of individual signing |
NANCI BROWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
