CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2023
|
061834691
|
2024-10-10
|
CLEAR CREEK ENDODONTICS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Plan administrator’s name and address
Administrator’s EIN |
133745616 |
Plan administrator’s name |
PENTEGRA SERVICES, INC. |
Plan administrator’s
address |
701 WESTCHESTER AVE, STE 320E, WHITE PLAINS, NY, 10604 |
Administrator’s telephone number |
8443672848 |
Signature of
Role |
Plan administrator |
Date |
2024-10-10 |
Name of individual signing |
DAVID MAUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2022
|
061834691
|
2023-10-10
|
CLEAR CREEK ENDODONTICS, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Plan administrator’s name and address
Administrator’s EIN |
133745616 |
Plan administrator’s name |
PENTEGRA SERVICES, INC. |
Plan administrator’s
address |
701 WESTCHESTER AVE, STE 320E, WHITE PLAINS, NY, 10604 |
Administrator’s telephone number |
8443672848 |
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
BETTY CALDWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2021
|
061834691
|
2022-08-04
|
CLEAR CREEK ENDODONTICS, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Signature of
Role |
Plan administrator |
Date |
2022-08-04 |
Name of individual signing |
BETTY CALDWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2020
|
061834691
|
2021-10-08
|
CLEAR CREEK ENDODONTICS, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Signature of
Role |
Plan administrator |
Date |
2021-10-08 |
Name of individual signing |
JOHN NEWCOMB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2019
|
061834691
|
2020-10-15
|
CLEAR CREEK ENDODONTICS, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2018
|
061834691
|
2019-09-03
|
CLEAR CREEK ENDODONTICS, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Signature of
Role |
Plan administrator |
Date |
2019-09-03 |
Name of individual signing |
JOHN NEWCOMB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2017
|
061834691
|
2018-10-04
|
CLEAR CREEK ENDODONTICS, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
JOHN NEWCOMB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2016
|
061834691
|
2017-09-12
|
CLEAR CREEK ENDODONTICS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Signature of
Role |
Plan administrator |
Date |
2017-09-12 |
Name of individual signing |
JOHN NEWCOMB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2015
|
061834691
|
2016-08-24
|
CLEAR CREEK ENDODONTICS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Signature of
Role |
Plan administrator |
Date |
2016-08-24 |
Name of individual signing |
JOHN NEWCOMB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAR CREEK ENDODONTICS, LLC 401(K) PLAN
|
2014
|
061834691
|
2015-06-16
|
CLEAR CREEK ENDODONTICS, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034323636
|
Plan sponsor’s
address |
7375 W 52ND AVENUE, SUITE 330, ARVADA, CO, 80002
|
Signature of
Role |
Plan administrator |
Date |
2015-06-16 |
Name of individual signing |
JOHN NEWCOMB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|