|
MOUNTAIN STREAMS MEDICAL CENTER, PC 401(K) PROFIT SHARING PLAN
|
2013
|
205176335
|
2014-08-20
|
MOUNTAIN STREAMS MEDICAL CENTER, PC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7193216974
|
| Plan sponsor’s
address |
2164 HOLLOW BROOK DRIVE, COLORADO SPRIGS, CO, 80918
|
Signature of
| Role |
Plan administrator |
| Date |
2014-08-13 |
| Name of individual signing |
RITA KALRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN STREAMS MEDICAL CENTER, PC 401(K) PROFIT SHARING PLAN
|
2012
|
205176335
|
2013-10-16
|
MOUNTAIN STREAMS MEDICAL CENTER, PC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7193216974
|
| Plan sponsor’s
address |
2164 HOLLOW BROOK DRIVE, COLORADO SPRIGS, CO, 80918
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-16 |
| Name of individual signing |
RITA KALRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN STREAMS MEDICAL CENTER, PC 401(K) PROFIT SHARING PLAN
|
2011
|
205176335
|
2012-10-03
|
MOUNTAIN STREAMS MEDICAL CENTER, PC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9492223490
|
| Plan sponsor’s
address |
2164 HOLLOW BROOK DRIVE, COLORADO SPRIGS, CO, 80918
|
Plan administrator’s name and address
| Administrator’s EIN |
205176335 |
| Plan administrator’s name |
MOUNTAIN STREAMS MEDICAL CENTER, PC |
| Plan administrator’s
address |
2164 HOLLOW BROOK DRIVE, COLORADO SPRIGS, CO, 80918 |
| Administrator’s telephone number |
9492223490 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-28 |
| Name of individual signing |
RITA KALRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN STREAMS MEDICAL CENTER, PC 401(K) PROFIT SHARING PLAN
|
2010
|
205176335
|
2011-09-16
|
MOUNTAIN STREAMS MEDICAL CENTER, PC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7193216974
|
| Plan sponsor’s
address |
2164 HOLLOW BROOK DRIVE, COLORADO SPRIGS, CO, 80918
|
Plan administrator’s name and address
| Administrator’s EIN |
205176335 |
| Plan administrator’s name |
MOUNTAIN STREAMS MEDICAL CENTER, PC |
| Plan administrator’s
address |
2164 HOLLOW BROOK DRIVE, COLORADO SPRIGS, CO, 80918 |
| Administrator’s telephone number |
7193216974 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-16 |
| Name of individual signing |
RITA KALRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MOUNTAIN STREAMS MEDICAL CENTER, PC 401(K) PROFIT SHARING PLAN
|
2009
|
205176335
|
2010-07-27
|
MOUNTAIN STREAMS MEDICAL CENTER, PC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7193216974
|
| Plan sponsor’s
address |
2164 HOLLOW BROOK DRIVE, COLORADO SPRIGS, CO, 80918
|
Plan administrator’s name and address
| Administrator’s EIN |
205176335 |
| Plan administrator’s name |
MOUNTAIN STREAMS MEDICAL CENTER, PC |
| Plan administrator’s
address |
2164 HOLLOW BROOK DRIVE, COLORADO SPRIGS, CO, 80918 |
| Administrator’s telephone number |
7193216974 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-27 |
| Name of individual signing |
SCOTT WOODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
