PLATTE RIVER MEDICAL CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
203600852
|
2017-03-16
|
PLATTE RIVER MEDICAL CLINIC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3036597600
|
Plan sponsor’s
address |
2801 PURCELL ST, BRIGHTON, CO, 806013551
|
Signature of
Role |
Plan administrator |
Date |
2017-03-16 |
Name of individual signing |
NATASHA URBINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLATTE RIVER MEDICAL CLINIC LL 401K PROFIT SHARING PLAN
|
2015
|
203600852
|
2016-10-18
|
PLATTE RIVER MEDICAL CLINIC
|
52
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3036597600
|
Plan sponsor’s
address |
2801 PURCELL ST, BRIGHTON, CO, 80601
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
NATASHA URBINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLATTE RIVER MEDICAL CLINIC LL 401K PROFIT SHARING PLAN
|
2014
|
203600852
|
2015-09-22
|
PLATTE RIVER MEDICAL CLINIC
|
35
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Sponsor’s telephone number |
3036597600
|
Plan sponsor’s
address |
2801 PURCELL ST, BRIGHTON, CO, 80601
|
Signature of
Role |
Plan administrator |
Date |
2015-09-22 |
Name of individual signing |
NATASHA URBINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLATTE RIVER MEDICAL CLINIC LL 401K PROFIT SHARING PLAN
|
2014
|
203600852
|
2015-09-25
|
PLATTE RIVER MEDICAL CLINIC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3036597600
|
Plan sponsor’s
address |
2801 PURCELL ST, BRIGHTON, CO, 80601
|
Signature of
Role |
Plan administrator |
Date |
2015-09-25 |
Name of individual signing |
NATASHA URBINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLATTE RIVER MEDICAL CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
203600852
|
2014-08-06
|
PLATTE RIVER MEDICAL CLINIC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
2801 PURCELL ST, BRIGHTON, CO, 80601
|
Signature of
Role |
Plan administrator |
Date |
2014-08-06 |
Name of individual signing |
ELLEN EUSER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLATTE RIVER MEDICAL CLINIC LL 401 K PROFIT SHARING PLAN TRUST
|
2011
|
203600852
|
2012-07-05
|
PLATTE RIVER MEDICAL CLINIC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3036597600
|
Plan sponsor’s
address |
36 S 18TH AVE STE B, BRIGHTON, CO, 806012452
|
Plan administrator’s name and address
Administrator’s EIN |
203600852 |
Plan administrator’s name |
PLATTE RIVER MEDICAL CLINIC |
Plan administrator’s
address |
36 S 18TH AVE STE B, BRIGHTON, CO, 806012452 |
Administrator’s telephone number |
3036597600 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
PLATTE RIVER MEDICAL CLINIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLATTE RIVER MEDICAL CLINIC LL 401 K PROFIT SHARING PLAN TRUST
|
2010
|
203600852
|
2011-07-05
|
PLATTE RIVER MEDICAL CLINIC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3036597600
|
Plan sponsor’s
address |
36 S 18TH AVE STE B, BRIGHTON, CO, 806010000
|
Plan administrator’s name and address
Administrator’s EIN |
203600852 |
Plan administrator’s name |
PLATTE RIVER MEDICAL CLINIC |
Plan administrator’s
address |
36 S 18TH AVE STE B, BRIGHTON, CO, 806010000 |
Administrator’s telephone number |
3036597600 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
PLATTE RIVER MEDICAL CLINIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLATTE RIVER MEDICAL CLINIC LL
|
2009
|
203600852
|
2010-08-11
|
PLATTE RIVER MEDICAL CLINIC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3036597600
|
Plan sponsor’s
address |
36 S 18TH AVE STE B, BRIGHTON, CO, 806010000
|
Plan administrator’s name and address
Administrator’s EIN |
203600852 |
Plan administrator’s name |
PLATTE RIVER MEDICAL CLINIC |
Plan administrator’s
address |
36 S 18TH AVE STE B, BRIGHTON, CO, 806010000 |
Administrator’s telephone number |
3036597600 |
Signature of
Role |
Plan administrator |
Date |
2010-08-11 |
Name of individual signing |
PLATTE RIVER MEDICAL CLINIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|