PRIMA CLINIC, LLC 401(K) P/S PLAN
|
2015
|
261077049
|
2016-10-27
|
PRIMA CLINIC, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9704432232
|
Plan sponsor’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211
|
Signature of
Role |
Plan administrator |
Date |
2016-10-27 |
Name of individual signing |
SAMUEL CHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-27 |
Name of individual signing |
SAMUEL CHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIMA CLINIC, LLC 401(K) P/S PLAN
|
2015
|
261077049
|
2016-06-24
|
PRIMA CLINIC, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9704432232
|
Plan sponsor’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
261077049 |
Plan administrator’s name |
PRIMA CLINIC, LLC |
Plan administrator’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211 |
Administrator’s telephone number |
9704432232 |
Signature of
Role |
Plan administrator |
Date |
2016-06-24 |
Name of individual signing |
SAMUEL Y. CHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIMA CLINIC, LLC 401(K) P/S PLAN
|
2014
|
261077049
|
2015-08-13
|
PRIMA CLINIC, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033316744
|
Plan sponsor’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
261077049 |
Plan administrator’s name |
PRIMA CLINIC, LLC |
Plan administrator’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211 |
Administrator’s telephone number |
3033316744 |
Signature of
Role |
Plan administrator |
Date |
2015-08-13 |
Name of individual signing |
CRISTINE GENTERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIMA CLINIC, LLC 401(K) P/S PLAN
|
2013
|
261077049
|
2014-07-03
|
PRIMA CLINIC, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033316744
|
Plan sponsor’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
261077049 |
Plan administrator’s name |
PRIMA CLINIC, LLC |
Plan administrator’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211 |
Administrator’s telephone number |
3033316744 |
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
SAMUEL CHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIMA CLINIC, LLC 401(K) P/S PLAN
|
2012
|
261077049
|
2013-06-27
|
PRIMA CLINIC, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033316744
|
Plan sponsor’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
261077049 |
Plan administrator’s name |
PRIMA CLINIC, LLC |
Plan administrator’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211 |
Administrator’s telephone number |
3033316744 |
Signature of
Role |
Plan administrator |
Date |
2013-06-27 |
Name of individual signing |
SAMUEL CHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIMA CLINIC, LLC 401(K) P/S PLAN
|
2011
|
261077049
|
2012-06-07
|
PRIMA CLINIC, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033316744
|
Plan sponsor’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
261077049 |
Plan administrator’s name |
PRIMA CLINIC, LLC |
Plan administrator’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211 |
Administrator’s telephone number |
3033316744 |
Signature of
Role |
Plan administrator |
Date |
2012-06-07 |
Name of individual signing |
SAMUEL CHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIMA CLINIC, LLC 401(K) P/S PLAN
|
2010
|
261077049
|
2011-04-05
|
PRIMA CLINIC, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033316744
|
Plan sponsor’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
261077049 |
Plan administrator’s name |
PRIMA CLINIC, LLC |
Plan administrator’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211 |
Administrator’s telephone number |
3033316744 |
Signature of
Role |
Plan administrator |
Date |
2011-04-05 |
Name of individual signing |
SAMUEL CHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIMA CLINIC, LLC 401(K) P/S PLAN
|
2009
|
261077049
|
2010-06-28
|
PRIMA CLINIC, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033316744
|
Plan sponsor’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
261077049 |
Plan administrator’s name |
PRIMA CLINIC, LLC |
Plan administrator’s
address |
2150 W. 29TH AVENUE, SUITE 600, DENVER, CO, 80211 |
Administrator’s telephone number |
3033316744 |
Signature of
Role |
Plan administrator |
Date |
2010-06-28 |
Name of individual signing |
SAMUEL CHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|