|
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER 401(K) PSP
|
2019
|
455291655
|
2020-10-13
|
PEAK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3032325637
|
| Plan sponsor’s
address |
2290 KIPLING ST., SUITE 2, DENVER, CO, 80215
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-13 |
| Name of individual signing |
HAEMAN NOORI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER 401(K) PSP
|
2018
|
455291655
|
2019-10-07
|
PEAK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3032325637
|
| Plan sponsor’s
address |
2290 KIPLING ST., SUITE 2, DENVER, CO, 80215
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-06 |
| Name of individual signing |
HAEMAN NOORI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER 401(K) PSP
|
2017
|
455291655
|
2018-10-12
|
PEAK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3032325637
|
| Plan sponsor’s
address |
2290 KIPLING ST., SUITE 2, DENVER, CO, 80215
|
Signature of
| Role |
Plan administrator |
| Date |
2018-10-12 |
| Name of individual signing |
HAEMAN NOORI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER 401(K) PSP
|
2016
|
455291655
|
2017-07-31
|
PEAK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3032325637
|
| Plan sponsor’s
address |
7100 E BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111
|
Plan administrator’s name and address
| Administrator’s EIN |
455291655 |
| Plan administrator’s name |
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER |
| Plan administrator’s
address |
2290 KIPLING ST., SUITE 2, DENVER, CO, 80215 |
| Administrator’s telephone number |
3032325637 |
Signature of
| Role |
Plan administrator |
| Date |
2017-07-31 |
| Name of individual signing |
HAEMAN NOORI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER 401(K) PSP
|
2015
|
455291655
|
2016-06-27
|
PEAK ORAL & MAXILLOFACIAL SURGERY, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3032325637
|
| Plan sponsor’s
address |
2290 KIPLING ST, STE 2, LAKEWOOD, CO, 80215
|
|
