ARNOLD PROFESSIONAL LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
201392125
|
2018-11-20
|
ARNOLD PROFESSIONAL LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204880055
|
Plan
sponsor’s DBA name |
VILLAGE FAMILY PRACTICE
|
Plan sponsor’s
address |
5161 E ARAPAHOE RD STE 290, CENTENNIAL, CO, 801224810
|
Signature of
Role |
Plan administrator |
Date |
2018-11-20 |
Name of individual signing |
HOLLY SHAKLEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-20 |
Name of individual signing |
HOLLY SHAKLEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOLD PROFESSIONAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
201392125
|
2016-05-16
|
ARNOLD PROFESSIONAL LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204880055
|
Plan sponsor’s
address |
5161 E ARAPAHOE RD STE 290, CENTENNIAL, CO, 801224810
|
Signature of
Role |
Plan administrator |
Date |
2016-05-16 |
Name of individual signing |
HOLLY SHAKLEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOLD PROFESSIONAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
201392125
|
2015-05-15
|
ARNOLD PROFESSIONAL LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204880055
|
Plan sponsor’s
address |
5161 E ARAPAHOE RD STE 290, CENTENNIAL, CO, 801224810
|
Signature of
Role |
Plan administrator |
Date |
2015-05-15 |
Name of individual signing |
HOLLY SHAKLEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOLD PROFESSIONAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
201392125
|
2014-05-06
|
ARNOLD PROFESSIONAL LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204880055
|
Plan sponsor’s
address |
5161 E ARAPAHOE RD STE 290, CENTENNIAL, CO, 801224810
|
Signature of
Role |
Plan administrator |
Date |
2014-05-06 |
Name of individual signing |
HOLLY SHAKLEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOLD PROFESSIONAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
201392125
|
2013-06-04
|
ARNOLD PROFESSIONAL LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204880055
|
Plan sponsor’s
address |
5161 E ARAPAHOE RD STE 290, CENTENNIAL, CO, 801224810
|
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
ARNOLD PROFESSIONAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOLD PROFESSIONAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
201392125
|
2012-05-01
|
ARNOLD PROFESSIONAL LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204880055
|
Plan sponsor’s
address |
5161 E ARAPAHOE RD STE 290, CENTENNIAL, CO, 801224810
|
Plan administrator’s name and address
Administrator’s EIN |
201392125 |
Plan administrator’s name |
ARNOLD PROFESSIONAL LLC |
Plan administrator’s
address |
5161 E ARAPAHOE RD STE 290, CENTENNIAL, CO, 801224810 |
Administrator’s telephone number |
7204880055 |
Signature of
Role |
Plan administrator |
Date |
2012-05-01 |
Name of individual signing |
ARNOLD PROFESSIONAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOLD PROFESSIONAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
201392125
|
2011-07-05
|
ARNOLD PROFESSIONAL LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204880055
|
Plan sponsor’s
address |
5161 E. ARAPAHOE RD #290, CENTENNIAL, CO, 80122
|
Plan administrator’s name and address
Administrator’s EIN |
201392125 |
Plan administrator’s name |
ARNOLD PROFESSIONAL LLC |
Plan administrator’s
address |
5161 E. ARAPAHOE RD #290, CENTENNIAL, CO, 80122 |
Administrator’s telephone number |
7204880055 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
ARNOLD PROFESSIONAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOLD PROFESSIONAL LLC
|
2009
|
201392125
|
2010-05-26
|
ARNOLD PROFESSIONAL LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7204880055
|
Plan sponsor’s
address |
5161 E. ARAPAHOE RD #290, CENTENNIAL, CO, 80122
|
Plan administrator’s name and address
Administrator’s EIN |
201392125 |
Plan administrator’s name |
ARNOLD PROFESSIONAL LLC |
Plan administrator’s
address |
5161 E. ARAPAHOE RD #290, CENTENNIAL, CO, 80122 |
Administrator’s telephone number |
7204880055 |
Signature of
Role |
Plan administrator |
Date |
2010-05-26 |
Name of individual signing |
ARNOLD PROFESSIONAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|