JOLLEY SMILES RETIREMENT PLAN
|
2023
|
204478965
|
2024-09-18
|
JOLLEY SMILES
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9703611521
|
Plan sponsor’s
address |
601 28 1/4 ROAD, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
JEENA JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-18 |
Name of individual signing |
JEENA JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2022
|
204478965
|
2023-09-14
|
JOLLEY SMILES
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2023-09-14 |
Name of individual signing |
JEENA JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-14 |
Name of individual signing |
JEENA JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2021
|
204478965
|
2022-09-08
|
JOLLEY SMILES
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2022-09-08 |
Name of individual signing |
JEENA M. JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-08 |
Name of individual signing |
JEENA M. JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2020
|
204478965
|
2021-10-12
|
JOLLEY SMILES
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, SUITE E, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
JEENA JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2019
|
204478965
|
2020-06-30
|
JOLLEY SMILES
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, SUITE E, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-30 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2018
|
204478965
|
2019-10-10
|
JOLLEY SMILES
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, SUITE E, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-10 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2017
|
204478965
|
2018-07-12
|
JOLLEY SMILES
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, SUITE E, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2016
|
204478965
|
2017-09-08
|
JOLLEY SMILES
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, SUITE E, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2017-09-08 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2015
|
204478965
|
2016-10-13
|
JOLLEY SMILES
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, SUITE E, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOLLEY SMILES RETIREMENT PLAN
|
2014
|
204478965
|
2015-08-18
|
JOLLEY SMILES
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705236333
|
Plan sponsor’s
address |
601 28 1/4 ROAD, SUITE E, GRAND JUNCTION, CO, 81506
|
Signature of
Role |
Plan administrator |
Date |
2015-08-18 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-18 |
Name of individual signing |
TYLER JOLLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|