ALPINE VALLEY ORAL SURGERY 401 (K) PROFIT SHARING PLAN
|
2018
|
201943063
|
2019-09-25
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PLACE SUITE 106, BOULDER, CO, 80301
|
|
ALPINE VALLEY ORAL SURGERY 401 (K) PROFIT SHARING PLAN
|
2017
|
201943063
|
2018-10-10
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PLACE SUITE 106, BOULDER, CO, 80301
|
|
ALPINE VALLEY ORAL SURGERY 401 (K) PROFIT SHARING PLAN
|
2016
|
201943063
|
2017-08-30
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PLACE SUITE 106, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2017-08-30 |
Name of individual signing |
VICTOR RAPOSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALPINE VALLEY ORAL SURGERY 401(K) PROFIT SHARING PLAN
|
2015
|
201943063
|
2016-10-08
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PLACE, SUITE 106, BOULDER, CO, 80301
|
|
ALPINE VALLEY ORAL SURGERY 401(K) PROFIT SHARING PLAN
|
2014
|
201943063
|
2015-09-30
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PLACE, SUITE 106, BOULDER, CO, 80301
|
|
ALPINE VALLEY ORAL SURGERY 401(K) PROFIT SHARING PLAN
|
2013
|
201943063
|
2014-10-13
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PLACE, SUITE 106, BOULDER, CO, 80301
|
|
ALPINE VALLEY ORAL SURGERY 401K PROFIT SHARING PLAN
|
2012
|
201943063
|
2013-10-15
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
VICTOR M. RAPOSO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALPINE VALLEY ORAL SURGERY 401K PROFIT SHARING PLAN
|
2011
|
201943063
|
2012-10-12
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301
|
Plan administrator’s name and address
Administrator’s EIN |
201943063 |
Plan administrator’s name |
ALPINE VALLEY ORAL SURGERY, P.C. |
Plan administrator’s
address |
3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301 |
Administrator’s telephone number |
3036049393 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
VICTOR M. RAPOSO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALPINE VALLEY ORAL SURGERY 401K PROFIT SHARING PLAN
|
2010
|
201943063
|
2011-07-19
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301
|
Plan administrator’s name and address
Administrator’s EIN |
201943063 |
Plan administrator’s name |
ALPINE VALLEY ORAL SURGERY, P.C. |
Plan administrator’s
address |
3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301 |
Administrator’s telephone number |
3036049393 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
VICTOR M. RAPOSO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALPINE VALLEY ORAL SURGERY 401K PROFIT SHARING PLAN
|
2009
|
201943063
|
2010-08-06
|
ALPINE VALLEY ORAL SURGERY, P.C.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3036049393
|
Plan sponsor’s
address |
1120 W. SOUTH BOULDER RD, STE 103, LAFAYETTE, CO, 800268952
|
Plan administrator’s name and address
Administrator’s EIN |
201943063 |
Plan administrator’s name |
ALPINE VALLEY ORAL SURGERY, P.C. |
Plan administrator’s
address |
1120 W. SOUTH BOULDER RD, STE 103, LAFAYETTE, CO, 800268952 |
Administrator’s telephone number |
3036049393 |
Signature of
Role |
Plan administrator |
Date |
2010-08-06 |
Name of individual signing |
VICTOR M. RAPOSO, D.M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|