|
CARBONDALE DENTAL CENTER, P.C. RETIREMENT PLAN
|
2018
|
352245252
|
2019-10-08
|
CARBONDALE DENTAL CENTER, P.C.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9709633010
|
| Plan sponsor’s
address |
1199 VILLAGE ROAD, SUITE 100, CARBONDALE, CO, 81623
|
|
|
CARBONDALE DENTAL CENTER, P.C. RETIREMENT PLAN
|
2017
|
352245252
|
2018-10-08
|
CARBONDALE DENTAL CENTER, P.C.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9709633010
|
| Plan sponsor’s
address |
1199 VILLAGE ROAD, SUITE 100, CARBONDALE, CO, 81623
|
|
|
CARBONDALE DENTAL CENTER, P.C. RETIREMENT PLAN
|
2016
|
352245252
|
2017-10-11
|
CARBONDALE DENTAL CENTER, P.C.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9709633010
|
| Plan sponsor’s
address |
1199 VILLAGE ROAD, SUITE 100, CARBONDALE, CO, 81623
|
|
|
CARBONDALE DENTAL CENTER, P.C. RETIREMENT PLAN
|
2015
|
352245252
|
2016-10-11
|
CARBONDALE DENTAL CENTER, P.C.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9709633010
|
| Plan sponsor’s
address |
1199 VILLAGE ROAD, SUITE 100, CARBONDALE, CO, 81623
|
|
|
CARBONDALE DENTAL CENTER, P.C. RETIREMENT PLAN
|
2014
|
352245252
|
2015-10-08
|
CARBONDALE DENTAL CENTER, P.C.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9709633010
|
| Plan sponsor’s
address |
289 MAIN ST., CARBONDALE, CO, 81623
|
|
|
CARBONDALE DENTAL CENTER, P.C. RETIREMENT PLAN
|
2013
|
352245252
|
2014-10-07
|
CARBONDALE DENTAL CENTER, P.C.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9709633010
|
| Plan sponsor’s
address |
289 MAIN ST, CARBONDALE, CO, 81623
|
|
|
CARBONDALE DENTAL CENTER, P.C. RETIREMENT PLAN
|
2012
|
352245252
|
2013-10-10
|
CARBONDALE DENTAL CENTER, P.C.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9709633010
|
| Plan sponsor’s
address |
289 MAIN ST, CARBONDALE, CO, 81269
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-10 |
| Name of individual signing |
MATTHEW OR TAYLOR VERHEUL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-10 |
| Name of individual signing |
MATTHEW OR TAYLOR VERHEUL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARBONDALE DENTAL CENTER P C
|
2009
|
352245252
|
2010-07-30
|
CARBONDALE DENTAL CENTER P C
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9709633010
|
| Plan sponsor’s
address |
289 MAIN ST STE 100, CARBONDALE, CO, 816230000
|
Plan administrator’s name and address
| Administrator’s EIN |
352245252 |
| Plan administrator’s name |
CARBONDALE DENTAL CENTER P C |
| Plan administrator’s
address |
289 MAIN ST STE 100, CARBONDALE, CO, 816230000 |
| Administrator’s telephone number |
9709633010 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-30 |
| Name of individual signing |
CARBONDALE DENTAL CENTER P C |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
