HOWARD H. PACK, DMD, PC 401(K) P/S PLAN
|
2021
|
274287855
|
2022-09-17
|
HOWARD H. PACK, DMD, PC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9705659569
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Signature of
Role |
Plan administrator |
Date |
2022-09-17 |
Name of individual signing |
HOWARD H. PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD H. PACK, DMD, PC 401(K) P/S PLAN
|
2020
|
274287855
|
2021-10-08
|
HOWARD H. PACK, DMD, PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Signature of
Role |
Plan administrator |
Date |
2021-10-08 |
Name of individual signing |
HOWARD H. PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD H. PACK, DMD, PC 401(K) P/S PLAN
|
2019
|
274287855
|
2020-10-13
|
HOWARD H. PACK, DMD, PC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
HOWARD H. PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD H. PACK, DMD, PC 401(K) P/S PLAN
|
2018
|
274287855
|
2019-10-15
|
HOWARD H. PACK, DMD, PC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
|
HOWARD H PACK, DMD, PC 401(K) P/S PLAN
|
2017
|
274287855
|
2018-06-07
|
HOWARD H PACK, DMD, PC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Plan administrator’s name and address
Administrator’s EIN |
274287855 |
Plan administrator’s name |
HOWARD H PACK, DMD, PC |
Plan administrator’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321 |
Administrator’s telephone number |
9707992181 |
Signature of
Role |
Plan administrator |
Date |
2018-06-07 |
Name of individual signing |
HOWARD PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD H PACK, DMD, PC 401(K) P/S PLAN
|
2016
|
274287855
|
2017-05-25
|
HOWARD H PACK, DMD, PC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Plan administrator’s name and address
Administrator’s EIN |
274287855 |
Plan administrator’s name |
HOWARD H PACK, DMD, PC |
Plan administrator’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321 |
Administrator’s telephone number |
9707992181 |
Signature of
Role |
Plan administrator |
Date |
2017-05-25 |
Name of individual signing |
HOWARD PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD H PACK, DMD, PC 401(K) P/S PLAN
|
2015
|
274287855
|
2016-03-24
|
HOWARD H PACK, DMD, PC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Plan administrator’s name and address
Administrator’s EIN |
274287855 |
Plan administrator’s name |
HOWARD H PACK, DMD, PC |
Plan administrator’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321 |
Administrator’s telephone number |
9707992181 |
Signature of
Role |
Plan administrator |
Date |
2016-03-24 |
Name of individual signing |
HOWARD PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD H PACK, DMD, PC 401(K) P/S PLAN
|
2014
|
274287855
|
2015-07-15
|
HOWARD H PACK, DMD, PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Plan administrator’s name and address
Administrator’s EIN |
274287855 |
Plan administrator’s name |
HOWARD H PACK, DMD, PC |
Plan administrator’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321 |
Administrator’s telephone number |
9707992181 |
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
HOWARD PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD H PACK, DMD, PC 401(K) P/S PLAN
|
2013
|
274287855
|
2014-06-12
|
HOWARD H PACK, DMD, PC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Plan administrator’s name and address
Administrator’s EIN |
274287855 |
Plan administrator’s name |
HOWARD H PACK, DMD, PC |
Plan administrator’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321 |
Administrator’s telephone number |
9707992181 |
Signature of
Role |
Plan administrator |
Date |
2014-06-12 |
Name of individual signing |
HOWARD PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD H PACK, DMD, PC 401(K) P/S PLAN
|
2012
|
274287855
|
2013-06-12
|
HOWARD H PACK, DMD, PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9707992181
|
Plan sponsor’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321
|
Plan administrator’s name and address
Administrator’s EIN |
274287855 |
Plan administrator’s name |
HOWARD H PACK, DMD, PC |
Plan administrator’s
address |
43 W MONTEZUMA AVENUE, CORTEZ, CO, 81321 |
Administrator’s telephone number |
9707992181 |
Signature of
Role |
Plan administrator |
Date |
2013-06-12 |
Name of individual signing |
HOWARD PACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|