SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C. CASH BALANCE PENSION PLAN
|
2023
|
204325325
|
2024-05-13
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704980196
|
Plan sponsor’s
address |
4609 S. TIMBERLINE ROAD, SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2024-05-13 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK OMS 401K PLAN
|
2023
|
204325325
|
2024-06-04
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702035434
|
Plan sponsor’s
address |
4609 S. TIMBERLINE ROAD, SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2024-06-04 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK OMS 401K PLAN
|
2023
|
204325325
|
2024-08-20
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702035434
|
Plan sponsor’s
address |
4609 S. TIMBERLINE ROAD, SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2024-08-19 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK OMS 401K PLAN
|
2022
|
204325325
|
2023-08-01
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9702035434
|
Plan sponsor’s
address |
4609 S. TIMBERLINE RD., SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2023-08-01 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C. CASH BALANCE PENSION PLAN
|
2022
|
204325325
|
2023-07-26
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704980196
|
Plan sponsor’s
address |
4609 S. TIMBERLINE ROAD, SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2023-07-26 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C. CASH BALANCE PENSION PLAN
|
2021
|
204325325
|
2022-09-24
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704980196
|
Plan sponsor’s
address |
4609 S. TIMBERLINE ROAD, SUITE 104B, FORT COLLINS, CO, 80526
|
Signature of
Role |
Plan administrator |
Date |
2022-09-24 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK OMS 401K PLAN
|
2021
|
204325325
|
2022-08-11
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704980196
|
Plan sponsor’s
address |
4609 S. TIMBERLINE RD., SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK OMS 401K PLAN
|
2020
|
204325325
|
2021-05-27
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704980196
|
Plan sponsor’s
address |
4609 S. TIMBERLINE RD., SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2021-05-27 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK OMS 401K PLAN
|
2019
|
204325325
|
2020-06-24
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704980196
|
Plan sponsor’s
address |
4609 S. TIMBERLINE RD., SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING CREEK OMS 401K PLAN
|
2018
|
204325325
|
2019-06-11
|
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9704980196
|
Plan sponsor’s
address |
4609 S. TIMBERLINE RD., SUITE 104B, FORT COLLINS, CO, 80528
|
Signature of
Role |
Plan administrator |
Date |
2019-06-11 |
Name of individual signing |
DAVID THURGOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|