ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2018
|
272143004
|
2019-09-25
|
ENT CLINIC OF PUEBLO PC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
3937 LVYWOOD LANE, PUEBLO, CO, 81005
|
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
TERRI YUNGHANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2017
|
272143004
|
2018-05-23
|
ENT CLINIC OF PUEBLO PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
3937 LVYWOOD LANE, PUEBLO, CO, 81005
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2016
|
272143004
|
2017-07-25
|
ENT CLINIC OF PUEBLO PC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
JULIE NEWBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2015
|
272143004
|
2016-07-06
|
ENT CLINIC OF PUEBLO PC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
|
Signature of
Role |
Plan administrator |
Date |
2016-07-06 |
Name of individual signing |
JULIE NEWBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2014
|
272143004
|
2015-06-20
|
ENT CLINIC OF PUEBLO PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
|
Signature of
Role |
Plan administrator |
Date |
2015-06-20 |
Name of individual signing |
JULIE NEWBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2013
|
272143004
|
2014-07-18
|
ENT CLINIC OF PUEBLO PC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
|
Signature of
Role |
Plan administrator |
Date |
2014-07-18 |
Name of individual signing |
JULIE NEWBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2012
|
272143004
|
2013-06-10
|
ENT CLINIC OF PUEBLO PC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
JULIE NEWBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2011
|
272143004
|
2012-07-13
|
ENT CLINIC OF PUEBLO PC
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
|
Plan administrator’s name and address
Administrator’s EIN |
272143004 |
Plan administrator’s name |
ENT CLINIC OF PUEBLO PC |
Plan administrator’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003 |
Administrator’s telephone number |
7195443752 |
Signature of
Role |
Plan administrator |
Date |
2012-07-12 |
Name of individual signing |
JULIE NEWBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2010
|
272143004
|
2011-10-14
|
ENT CLINIC OF PUEBLO PC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
|
Plan administrator’s name and address
Administrator’s EIN |
272143004 |
Plan administrator’s name |
ENT CLINIC OF PUEBLO PC |
Plan administrator’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003 |
Administrator’s telephone number |
7195443752 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
KATHRYN ST. DENIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN
|
2010
|
272143004
|
2011-04-12
|
ENT CLINIC OF PUEBLO PC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7195443752
|
Plan sponsor’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
|
Plan administrator’s name and address
Administrator’s EIN |
272143004 |
Plan administrator’s name |
ENT CLINIC OF PUEBLO PC |
Plan administrator’s
address |
1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003 |
Administrator’s telephone number |
7195443752 |
Signature of
Role |
Plan administrator |
Date |
2011-04-12 |
Name of individual signing |
AUDREY R. BALLENGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|