|
LARISA KHMIL, DDS. PC 401(K) PLAN
|
2023
|
270541367
|
2024-07-26
|
LARISA KHMIL, DDS, PC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7207854840
|
| Plan sponsor’s
address |
14591 E. ALAMEDA AVE, AURURA, CO, 80012
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2024-07-26 |
| Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LARISA KHMIL, DDS. PC 401(K) PLAN
|
2022
|
270541367
|
2023-10-06
|
LARISA KHMIL, DDS, PC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7207854840
|
| Plan sponsor’s
address |
14591 E. ALAMEDA AVE, AURURA, CO, 80012
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2023-10-06 |
| Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
