GENERAL SURGERY OF SOUTHERN COLORADO PLLC PROFIT SHARING PLAN
|
2014
|
205894881
|
2015-11-04
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7192517294
|
Plan sponsor’s
address |
59 MAYHEW, LAMAR, CO, 81052
|
Signature of
Role |
Plan administrator |
Date |
2015-11-04 |
Name of individual signing |
CARRIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC PROFIT SHARING PLAN
|
2013
|
205894881
|
2015-11-04
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7192517294
|
Plan sponsor’s
address |
59 MAYHEWW DR, LAMAR, CO, 81052
|
Signature of
Role |
Plan administrator |
Date |
2015-11-04 |
Name of individual signing |
CARRIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC PROFIT SHARING PLAN
|
2012
|
205894881
|
2013-07-17
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7192517294
|
Plan sponsor’s
address |
804 S 6TH STREET, LAMAR, CO, 81052
|
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
CARRIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC PROFIT SHARING PLAN
|
2011
|
845894881
|
2012-10-03
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195614300
|
Plan sponsor’s
address |
1925 E ORMAN AVE STE 435, PUEBLO, CO, 81004
|
Plan administrator’s name and address
Administrator’s EIN |
845894881 |
Plan administrator’s name |
GENERAL SURGERY OF SOUTHERN COLORADO PLLC |
Plan administrator’s
address |
1925 E ORMAN AVE STE 435, PUEBLO, CO, 81004 |
Administrator’s telephone number |
7195614300 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
CARRIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC PROFIT SHARING PLAN
|
2010
|
845894881
|
2011-06-16
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195614300
|
Plan sponsor’s
address |
1925 E ORMAN AVE STE 435, PUEBLO, CO, 81004
|
Plan administrator’s name and address
Administrator’s EIN |
845894881 |
Plan administrator’s name |
GENERAL SURGERY OF SOUTHERN COLORADO PLLC |
Plan administrator’s
address |
1925 E ORMAN AVE STE 435, PUEBLO, CO, 81004 |
Administrator’s telephone number |
7195614300 |
Signature of
Role |
Plan administrator |
Date |
2011-06-16 |
Name of individual signing |
CARRIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC PROFIT SHARING PLAN
|
2010
|
205894881
|
2010-06-30
|
GENERAL SURGERY OF SOUTHERN COLORADO PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195614300
|
Plan sponsor’s
address |
1925 E ORMAN AVE STE 435, PUEBLO, CO, 81004
|
Plan administrator’s name and address
Administrator’s EIN |
205894881 |
Plan administrator’s name |
GENERAL SURGERY OF SOUTHERN COLORADO PLLC |
Plan administrator’s
address |
1925 E ORMAN AVE STE 435, PUEBLO, CO, 81004 |
Administrator’s telephone number |
7195614300 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
CARRIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|