BRIAN FULLER, M.D., P.C. 401(K) P/S PLAN
|
2023
|
452504256
|
2024-09-24
|
BRIAN FULLER, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD, UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2024-09-24 |
Name of individual signing |
YOLANDA LUNA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D., P.C. CASH BALANCE PLAN
|
2023
|
452504256
|
2024-09-24
|
BRIAN FULLER, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD, UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2024-09-24 |
Name of individual signing |
YOLANDA LUNA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D., P.C. 401(K) P/S PLAN
|
2022
|
452504256
|
2023-09-15
|
BRIAN FULLER, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD, UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2023-09-15 |
Name of individual signing |
YOLANDA LUNA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D., P.C. CASH BALANCE PLAN
|
2022
|
452504256
|
2023-09-15
|
BRIAN FULLER, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD, UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2023-09-15 |
Name of individual signing |
YOLANDA LUNA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D., P.C. 401(K) P/S PLAN
|
2021
|
452504256
|
2022-09-28
|
BRIAN FULLER, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD, UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2022-09-28 |
Name of individual signing |
AMANDA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D., P.C. CASH BALANCE PLAN
|
2021
|
452504256
|
2022-09-28
|
BRIAN FULLER, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD, UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2022-09-28 |
Name of individual signing |
AMANDA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D., P.C. 401(K) P/S PLAN
|
2020
|
452504256
|
2021-09-24
|
BRIAN FULLER, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD, UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2021-09-24 |
Name of individual signing |
AMANDA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D. P.C. CASH BALANCE PLAN
|
2020
|
452504256
|
2021-09-24
|
BRIAN FULLER, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD., UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2021-09-24 |
Name of individual signing |
AMANDA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D. P.C. CASH BALANCE PLAN
|
2019
|
452504256
|
2020-09-28
|
BRIAN FULLER, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD., UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2020-09-28 |
Name of individual signing |
AMANDA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN FULLER, M.D., P.C. 401(K) P/S PLAN
|
2019
|
452504256
|
2020-09-28
|
BRIAN FULLER, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3033553700
|
Plan sponsor’s
address |
2373 CENTRAL PARK BLVD, UNIT 303, DENVER, CO, 80238
|
Signature of
Role |
Plan administrator |
Date |
2020-09-28 |
Name of individual signing |
AMANDA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|