COLORADO SPINE CARE, INC. 412I DEFINED BENEFIT PLAN
|
2014
|
841476290
|
2015-10-09
|
COLORADO SPINE CARE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7208109279
|
Plan sponsor’s
address |
4749 TURQUOISE CIRCLE, COLORADO SPRINGS, CO, 80917
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
JULIUS BUDNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
JULIUS BUDNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO SPINE CARE, INC. 412I DEFINED BENEFIT PLAN
|
2014
|
841476290
|
2015-06-22
|
COLORADO SPINE CARE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7208109279
|
Plan sponsor’s
address |
4749 TURQUOISE CIRCLE, COLORADO SPRINGS, CO, 80917
|
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
VANESSA TERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-22 |
Name of individual signing |
VANESSA TERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO SPINE CARE, INC. 412I DEFINED BENEFIT PLAN
|
2013
|
841476290
|
2014-10-08
|
COLORADO SPINE CARE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7208109279
|
Plan sponsor’s
address |
4749 TURQUOISE CIRCLE, COLORADO SPRINGS, CO, 80917
|
Signature of
Role |
Plan administrator |
Date |
2014-10-08 |
Name of individual signing |
JULIUS BUDNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-08 |
Name of individual signing |
JULIUS BUDNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO SPINE CARE, INC. 412I DEFINED BENEFIT PLAN
|
2012
|
841476290
|
2013-07-03
|
COLORADO SPINE CARE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7208109279
|
Plan sponsor’s
address |
4749 TURQUOISE CIRCLE, COLORADO SPRINGS, CO, 80917
|
Signature of
Role |
Plan administrator |
Date |
2013-07-02 |
Name of individual signing |
JULIUS BUDNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-02 |
Name of individual signing |
JULIUS BUDNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO SPINE CARE, INC. 412I DEFINED BENEFIT PLAN
|
2011
|
841476290
|
2012-08-16
|
COLORADO SPINE CARE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7208109279
|
Plan sponsor’s
address |
4407 COLLEGE PARK COURT, COLORADO SPRINGS, CO, 80918
|
Plan administrator’s name and address
Administrator’s EIN |
841476290 |
Plan administrator’s name |
COLORADO SPINE CARE, INC. |
Plan administrator’s
address |
4407 COLLEGE PARK COURT, COLORADO SPRINGS, CO, 80918 |
Administrator’s telephone number |
7208109279 |
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
JULIUS BUDNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO SPINE CARE, INC. 412(I) DEFINED BENEFIT PLAN
|
2010
|
841476290
|
2012-08-15
|
COLORADO SPINE CARE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7198677373
|
Plan sponsor’s
address |
P.O. BOX 64617, COLORADO SPRINGS, CO, 80962
|
Plan administrator’s name and address
Administrator’s EIN |
841476290 |
Plan administrator’s name |
COLORADO SPINE CARE, INC. |
Plan administrator’s
address |
P.O. BOX 64617, COLORADO SPRINGS, CO, 80962 |
Administrator’s telephone number |
7198677373 |
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
JULIUS BUDNICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO SPINE CARE, INC. 412(I) DEFINED BENEFIT PLAN
|
2009
|
841476290
|
2010-09-13
|
COLORADO SPINE CARE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7198677373
|
Plan sponsor’s
address |
3010 N. CIRCLE DRIVE, SUITE 200, COLORADO SPRINGS, CO, 80907
|
Plan administrator’s name and address
Administrator’s EIN |
841476290 |
Plan administrator’s name |
COLORADO SPINE CARE, INC. |
Plan administrator’s
address |
3010 N. CIRCLE DRIVE, SUITE 200, COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7198677373 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-09-10 |
Name of individual signing |
JULIUS BUDNICK JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|