PARK AVENUE OCULOPLASTIC SURGEONS SH & PSP
|
2022
|
201418623
|
2023-05-22
|
JERRY K. POPHAM, M.D. P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON STREET, SUITE 200, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2023-05-22 |
Name of individual signing |
KIMBERLY BLANTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARK AVENUE OCULOPLASTIC SURGEONS SH & PSP
|
2021
|
201418623
|
2022-07-14
|
JERRY K. POPHAM, M.D. P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON STREET, SUITE 200, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
KIMBERLY BLANTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARK AVENUE OCULOPLASTIC SURGEONS SH & PSP
|
2020
|
201418623
|
2021-06-20
|
JERRY K. POPHAM, M.D. P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON STREET, SUITE 200, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2021-06-20 |
Name of individual signing |
KIMBERLY BLANTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARK AVENUE OCULOPLASTIC SURGEONS SH & PSP
|
2019
|
201418623
|
2020-06-22
|
JERRY K. POPHAM, M.D. P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON STREET, SUITE 200, DENVER, CO, 80218
|
Signature of
Role |
Plan administrator |
Date |
2020-06-22 |
Name of individual signing |
KIMBERLY BLANTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-22 |
Name of individual signing |
KIMBERLY BLANTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARKAVENUE OCULOPLASTIC SURGEONS SH & PSP
|
2018
|
201418623
|
2019-07-19
|
JERRY K. POPHAM, M.D.P.C.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 N EMERSON ST STE 200, DENVER, CO, 802181080
|
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
BONNIE SHIPPY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN
|
2017
|
201418623
|
2018-07-30
|
JERRY K. POPHAM, M.D., P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
|
|
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN
|
2016
|
201418623
|
2017-07-14
|
JERRY K. POPHAM, M.D., P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
|
|
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN
|
2015
|
201418623
|
2016-04-08
|
JERRY K. POPHAM, M.D., P.C.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
|
|
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN
|
2014
|
201418623
|
2015-02-13
|
JERRY K. POPHAM, M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
|
|
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN
|
2013
|
201418623
|
2014-02-10
|
JERRY K. POPHAM, M.D., P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034688844
|
Plan sponsor’s
address |
1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
|
|