|
BEN LEE 401(K) PLAN
|
2012
|
201411850
|
2013-10-15
|
BEN LEE, MD, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3037839997
|
| Plan sponsor’s
address |
3701 S CLARKSON ST, ENGLEWOOD, CO, 80113
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
BEN LEE, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEN LEE 401 K PLAN
|
2011
|
201411850
|
2012-10-22
|
BEN LEE, MD, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3037339997
|
| Plan sponsor’s
address |
3701 S CLARKSON SUITE 200, ENGLEWOOD, CO, 80113
|
Plan administrator’s name and address
| Administrator’s EIN |
201411850 |
| Plan administrator’s name |
BEN LEE, M.D., LLC |
| Plan administrator’s
address |
3701 S CLARKSON SUITE 200, ENGLEWOOD, CO, 80113 |
| Administrator’s telephone number |
3037339997 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-22 |
| Name of individual signing |
BEN LEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEN LEE 401K PLAN
|
2009
|
201411850
|
2010-10-13
|
BEN LEE, MD, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3037339997
|
| Plan sponsor’s
address |
3701 SOUTH CLARKSON ST SUITE 200, ENGLEWOOD, CO, 80113
|
Plan administrator’s name and address
| Administrator’s EIN |
201411850 |
| Plan administrator’s name |
BEN LEE M D LLC |
| Plan administrator’s
address |
3701 SOUTH CLARKSON ST, ENGLEWOOD, CO, 80113 |
| Administrator’s telephone number |
3037339997 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
BEN LEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
