|
PEAK DENTAL SERVICES, LLC
|
2020
|
263216754
|
2021-08-31
|
PEAK DENTAL SERVICES, LLC
|
259
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2017-04-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
5757493713
|
| Plan sponsor’s mailing address |
6110 BARNES RD, COLORADO SPRINGS, CO, 809222600
|
| Plan sponsor’s
address |
6110 BARNES RD, COLORADO SPRINGS, CO, 809222600
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2021-08-27 |
| Name of individual signing |
KRYSTAL THAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEAK DENTAL SERVICES, LLC
|
2020
|
263216754
|
2021-01-27
|
PEAK DENTAL SERVICES, LLC
|
147
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2017-04-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
5757493713
|
| Plan sponsor’s mailing address |
6110 BARNES RD, COLORADO SPRINGS, CO, 809222600
|
| Plan sponsor’s
address |
6110 BARNES RD, COLORADO SPRINGS, CO, 809222600
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2021-01-27 |
| Name of individual signing |
KRYSTAL THAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEAK DENTAL SERVICES, LLC
|
2020
|
263216754
|
2021-01-27
|
PEAK DENTAL SERVICES, LLC
|
73
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2017-04-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
5757493713
|
| Plan sponsor’s mailing address |
6110 BARNES RD, COLORADO SPRINGS, CO, 809222600
|
| Plan sponsor’s
address |
6110 BARNES RD, COLORADO SPRINGS, CO, 809222600
|
Number of participants as of the end of the plan year
| Active participants |
147 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2021-01-27 |
| Name of individual signing |
KRYSTAL THAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEAK DENTAL SERVICES, LLC
|
2019
|
263216754
|
2021-01-27
|
PEAK DENTAL SERVICES, LLC
|
226
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2017-04-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
5757493713
|
| Plan sponsor’s mailing address |
6110 BARNES RD, COLORADO SPRINGS, CO, 809222600
|
| Plan sponsor’s
address |
6110 BARNES RD, COLORADO SPRINGS, CO, 809222600
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2021-01-27 |
| Name of individual signing |
KRYSTAL THAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
