BRENT J. NIELSEN DMD PC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
272523387
|
2019-07-21
|
BRENT J NIELSEN DMD PC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195993999
|
Plan sponsor’s
address |
5731 SILVERSTONE TERRACE STE 220, COLORADO SPRINGS, CO, 80919
|
Signature of
Role |
Plan administrator |
Date |
2019-07-21 |
Name of individual signing |
BRENT NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENT J. NIELSEN DMD PC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
272523387
|
2017-07-31
|
BRENT J NIELSEN DMD PC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195993999
|
Plan sponsor’s
address |
5731 SILVERSTONE TERRACE STE 2, COLORADO SPRINGS, CO, 80919
|
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
BRENT NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENT J. NIELSEN DMD PC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
272523387
|
2016-07-26
|
BRENT J NIELSEN DMD PC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195993999
|
Plan sponsor’s
address |
5731 SILVERSTONE TERRACE STE 2, COLORADO SPRINGS, CO, 80919
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
BRENT NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|