BVDC, P.C. 401(K) PLAN
|
2022
|
260687070
|
2023-06-08
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 809064407
|
Plan administrator’s name and address
Administrator’s EIN |
260687070 |
Plan administrator’s name |
BROADMOOR VALLEY DENTAL CARE, P.C. |
Plan administrator’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 809064407 |
Administrator’s telephone number |
7196327636 |
Signature of
Role |
Plan administrator |
Date |
2023-05-02 |
Name of individual signing |
OLIVER SPAETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-02 |
Name of individual signing |
OLIVER SPAETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BVDC, P.C. 401(K) PLAN
|
2021
|
260687070
|
2022-06-20
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906
|
Plan administrator’s name and address
Administrator’s EIN |
260687070 |
Plan administrator’s name |
BROADMOOR VALLEY DENTAL CARE, P.C. |
Plan administrator’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906 |
Administrator’s telephone number |
7196327636 |
Signature of
Role |
Plan administrator |
Date |
2022-02-23 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-02-23 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BVDC, P.C. 401(K) PLAN
|
2020
|
260687070
|
2021-09-13
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906
|
Signature of
Role |
Plan administrator |
Date |
2021-09-13 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-13 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BVDC, P.C. 401(K) PLAN
|
2019
|
260687070
|
2020-02-19
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906
|
Signature of
Role |
Plan administrator |
Date |
2020-02-19 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-02-19 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BVDC, P.C. 401(K) PLAN
|
2018
|
260687070
|
2019-02-27
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906
|
Signature of
Role |
Plan administrator |
Date |
2019-02-23 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-23 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BVDC, P.C. 401(K) PLAN
|
2017
|
260687070
|
2018-04-01
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906
|
Signature of
Role |
Plan administrator |
Date |
2018-03-20 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-20 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BVDC, P.C. 401(K) PLAN
|
2016
|
260687070
|
2017-02-09
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906
|
Signature of
Role |
Plan administrator |
Date |
2017-02-06 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-06 |
Name of individual signing |
OLIVER SPEATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BVDC, P.C. 401(K) PLAN
|
2015
|
260687070
|
2016-02-25
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906
|
Signature of
Role |
Plan administrator |
Date |
2016-02-24 |
Name of individual signing |
OLIVER SPAETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-24 |
Name of individual signing |
OLIVER SPAETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BVDC PC 401K PLAN
|
2014
|
260687070
|
2015-02-16
|
BROADMOOR VALLEY DENTAL CARE, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7196327636
|
Plan sponsor’s
address |
2965 BROADMOOR VALLEY ROAD, COLORADO SPRINGS, CO, 80906
|
Signature of
Role |
Plan administrator |
Date |
2015-02-11 |
Name of individual signing |
OLIVER SPAETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-02-11 |
Name of individual signing |
OLIVER SPAETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|