CAROL A. MARFUT, PSY.D., LLC
|
2019
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204093340
|
2020-02-19
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2020-02-19 |
Name of individual signing |
CAROL A. MARFUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2018
|
204093340
|
2019-06-24
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2019-06-24 |
Name of individual signing |
CAROL A. MARFUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2017
|
204093340
|
2018-07-23
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
CAROL A. MARFUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2016
|
204093340
|
2017-07-21
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2017-07-21 |
Name of individual signing |
CAROL A. MARFUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2015
|
204093340
|
2016-08-30
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2016-08-30 |
Name of individual signing |
CAROL A. MARFUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2014
|
204093340
|
2015-09-15
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2015-09-15 |
Name of individual signing |
MARVIN PUGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2013
|
204093340
|
2014-09-08
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2014-09-08 |
Name of individual signing |
MARVIN PUGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2012
|
204093340
|
2013-09-09
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
CAROL A. MARFUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2011
|
204093340
|
2012-08-30
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2012-08-30 |
Name of individual signing |
CAROL A. MARFUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAROL A. MARFUT, PSY.D., LLC
|
2010
|
204093340
|
2011-10-03
|
CAROL A. MARFUT, PSY.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3036954636
|
Plan sponsor’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126
|
Plan administrator’s name and address
Administrator’s EIN |
204093340 |
Plan administrator’s name |
CAROL A. MARFUT, PSY.D., LLC |
Plan administrator’s
address |
1543 BRIAR CIRCLE, HIGHLANDS RANCH, CO, 80126 |
Administrator’s telephone number |
3036954636 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
CAROL A. MARFUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|