MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2023
|
383840431
|
2024-09-23
|
MOUNTAINSIDE DENTAL, LLC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3038253818
|
Plan sponsor’s
address |
5307 E YALE AVE SUITE 1, DENVER, CO, 80222
|
Signature of
Role |
Plan administrator |
Date |
2024-09-23 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2022
|
383840431
|
2023-10-16
|
MOUNTAINSIDE DENTAL, LLC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3035525392
|
Plan sponsor’s
address |
5307 E YALE ST, #1, DENVER, CO, 802226901
|
Plan administrator’s name and address
Administrator’s EIN |
383840431 |
Plan administrator’s name |
MOUNTAINSIDE DENTAL, LLC |
Plan administrator’s
address |
5307 E YALE ST, 1, DENVER, CO, 802226901 |
Administrator’s telephone number |
3035525392 |
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-03 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2022
|
383840431
|
2023-09-27
|
MOUNTAINSIDE DENTAL, LLC
|
40
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3038253818
|
Plan sponsor’s
address |
5307 E YALE AVE STE 1, DENVER, CO, 80222
|
Signature of
Role |
Plan administrator |
Date |
2023-09-27 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2021
|
383840431
|
2022-06-22
|
MOUNTAINSIDE DENTAL, LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3035525392
|
Plan sponsor’s
address |
5307 E YALE ST, #1, DENVER, CO, 802226901
|
Plan administrator’s name and address
Administrator’s EIN |
383840431 |
Plan administrator’s name |
MOUNTAINSIDE DENTAL, LLC |
Plan administrator’s
address |
5307 E YALE ST, 1, DENVER, CO, 802226901 |
Administrator’s telephone number |
3035525392 |
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-03-30 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2020
|
383840431
|
2021-08-26
|
MOUNTAINSIDE DENTAL, LLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3035525392
|
Plan sponsor’s
address |
5307 E YALE ST, 1, DENVER, CO, 80222
|
Signature of
Role |
Plan administrator |
Date |
2021-08-26 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-26 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2019
|
383840431
|
2020-07-28
|
MOUNTAINSIDE DENTAL, LLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3035525392
|
Plan sponsor’s
address |
5307 E YALE ST, 1, DENVER, CO, 80222
|
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2018
|
383840431
|
2019-08-08
|
MOUNTAINSIDE DENTAL, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3035525392
|
Plan sponsor’s
address |
5307 E YALE ST, 1, DENVER, CO, 80222
|
Signature of
Role |
Plan administrator |
Date |
2019-08-07 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-07 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2017
|
383840431
|
2018-07-19
|
MOUNTAINSIDE DENTAL, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3035525392
|
Plan sponsor’s
address |
5307 E YALE ST, 1, DENVER, CO, 80222
|
Signature of
Role |
Plan administrator |
Date |
2018-07-19 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-19 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2016
|
383840431
|
2017-05-09
|
MOUNTAINSIDE DENTAL, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3035525392
|
Plan sponsor’s
address |
5307 E YALE ST, 1, DENVER, CO, 80222
|
Signature of
Role |
Plan administrator |
Date |
2017-05-09 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-09 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE DENTAL, LLC 401(K) PLAN
|
2015
|
383840431
|
2016-10-14
|
MOUNTAINSIDE DENTAL, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
3035525392
|
Plan sponsor’s
address |
5307 E YALE ST, 1, DENVER, CO, 80222
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
GEORGE CORSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|