INTERNAL MEDICINE ASSOC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
841479151
|
2016-07-15
|
INTERNAL MEDICINE ASSOCIATES
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING ST STE 111, LAKEWOOD, CO, 802152871
|
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
AUBREY DOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE ASSOC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
841479151
|
2015-05-22
|
INTERNAL MEDICINE ASSOCIATES
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING ST STE 111, LAKEWOOD, CO, 802152871
|
Signature of
Role |
Plan administrator |
Date |
2015-05-22 |
Name of individual signing |
AUBREY DOBBS,MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE ASSOC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
841479151
|
2014-07-18
|
INTERNAL MEDICINE ASSOCIATES
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING ST STE 111, LAKEWOOD, CO, 802152871
|
Signature of
Role |
Plan administrator |
Date |
2014-07-18 |
Name of individual signing |
AUBREY DOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE ASSOC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
841479151
|
2013-07-31
|
INTERNAL MEDICINE ASSOCIATES
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING ST STE 111, LAKEWOOD, CO, 802152871
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
INTERNAL MEDICINE ASSOCIATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE ASSOC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
841479151
|
2015-08-12
|
INTERNAL MEDICINE ASSOCIATES
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING ST STE 111, LAKEWOOD, CO, 802152871
|
Plan administrator’s name and address
Administrator’s EIN |
841479151 |
Plan administrator’s name |
INTERNAL MEDICINE ASSOCIATES |
Plan administrator’s
address |
1805 KIPLING ST STE 111, LAKEWOOD, CO, 802152871 |
Administrator’s telephone number |
3034223727 |
Signature of
Role |
Plan administrator |
Date |
2015-08-12 |
Name of individual signing |
INTERNAL MEDICINE ASSOCIATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE ASSOC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
841479151
|
2011-06-17
|
INTERNAL MEDICINE ASSOCIATES
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING ST, LAKEWOOD, CO, 80215
|
Plan administrator’s name and address
Administrator’s EIN |
841479151 |
Plan administrator’s name |
INTERNAL MEDICINE ASSOCIATES |
Plan administrator’s
address |
1805 KIPLING ST, LAKEWOOD, CO, 80215 |
Administrator’s telephone number |
3034223727 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
INTERNAL MEDICINE ASSOCIATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE ASSOC
|
2009
|
841479151
|
2010-07-02
|
INTERNAL MEDICINE ASSOCIATES
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING STR., LAKEWOOD, CO, 80215
|
Plan administrator’s name and address
Administrator’s EIN |
841479151 |
Plan administrator’s name |
INTERNAL MEDICINE ASSOCIATES |
Plan administrator’s
address |
1805 KIPLING STR., LAKEWOOD, CO, 80215 |
Administrator’s telephone number |
3034223727 |
Signature of
Role |
Plan administrator |
Date |
2010-07-02 |
Name of individual signing |
INTERNAL MEDICINE ASSOCIATES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
INTERNAL MEDICINE ASSOC
|
2009
|
841479151
|
2010-07-23
|
INTERNAL MEDICINE ASSOCIATES
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING STR., LAKEWOOD, CO, 80215
|
Plan administrator’s name and address
Administrator’s EIN |
841479151 |
Plan administrator’s name |
INTERNAL MEDICINE ASSOCIATES |
Plan administrator’s
address |
1805 KIPLING STR., LAKEWOOD, CO, 80215 |
Administrator’s telephone number |
3034223727 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
INTERNAL MEDICINE ASSOCIATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE ASSOC
|
2009
|
841479151
|
2010-07-02
|
INTERNAL MEDICINE ASSOCIATES
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3034223727
|
Plan sponsor’s
address |
1805 KIPLING STR., LAKEWOOD, CO, 80215
|
Plan administrator’s name and address
Administrator’s EIN |
841479151 |
Plan administrator’s name |
INTERNAL MEDICINE ASSOCIATES |
Plan administrator’s
address |
1805 KIPLING STR., LAKEWOOD, CO, 80215 |
Administrator’s telephone number |
3034223727 |
Signature of
Role |
Plan administrator |
Date |
2010-07-02 |
Name of individual signing |
INTERNAL MEDICINE ASSOCIATES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|