RETIREMENT INCOME SECURITY PLAN-PEAK FAMILY DENTISTRY & ORTHODONTICS
|
2023
|
471076457
|
2024-08-02
|
BRANDON CAMPBELL, DDS PLLC
|
9
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034275135
|
Plan sponsor’s
address |
6350 W 92ND AVE, UNIT A #400, WESTMINSTER, CO, 80031
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2024-08-02 |
Name of individual signing |
STEVEN STOUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT INCOME SECURITY PLAN-PEAK FAMILY DENTISTRY & ORTHODONTICS
|
2023
|
471076457
|
2024-08-20
|
BRANDON CAMPBELL, DDS PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034275135
|
Plan sponsor’s
address |
6350 W 92ND AVE, UNIT A #400, WESTMINSTER, CO, 80031
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2024-08-20 |
Name of individual signing |
STEVEN STOUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT INCOME SECURITY PLAN-PEAK FAMILY DENTISTRY & ORTHODONTICS
|
2022
|
471076457
|
2023-07-24
|
BRANDON CAMPBELL, DDS PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034275135
|
Plan sponsor’s
address |
6350 W 92ND AVE, UNIT A #400, WESTMINSTER, CO, 80031
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
STEVEN STOUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT INCOME SECURITY PLAN-PEAK FAMILY DENTISTRY & ORTHODONTICS
|
2021
|
471076457
|
2022-07-26
|
BRANDON CAMPBELL, DDS PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034275135
|
Plan sponsor’s
address |
6350 W 92ND AVE, UNIT A #400, WESTMINSTER, CO, 80031
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
STEVEN STOUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT INCOME SECURITY PLAN-PEAK FAMILY DENTISTRY & ORTHODONTICS
|
2020
|
471076457
|
2021-07-22
|
BRANDON CAMPBELL, DDS PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034275135
|
Plan sponsor’s
address |
6350 W 92ND AVE, UNIT A #400, WESTMINSTER, CO, 80031
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
STEVEN STOUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT INCOME SECURITY PLAN-PEAK FAMILY DENTISTRY & ORTHODONTICS
|
2019
|
471076457
|
2020-07-24
|
BRANDON CAMPBELL, DDS PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034275135
|
Plan sponsor’s
address |
6350 W 92ND AVE, UNIT A #400, WESTMINSTER, CO, 80031
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
STEVEN STOUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT INCOME SECURITY PLAN-PEAK FAMILY DENTISTRY & ORTHODONTICS
|
2018
|
471076457
|
2019-07-23
|
BRANDON CAMPBELL, DDS PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034275135
|
Plan sponsor’s
address |
6350 W 92ND AVE, UNIT A #400, WESTMINSTER, CO, 80031
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
STEVEN STOUT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT INCOME SECURITY PLAN-PEAK FAMILY DENTISTRY & ORTHODONTICS
|
2017
|
471076457
|
2018-07-27
|
BRANDON CAMPBELL, DDS PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034275135
|
Plan sponsor’s
address |
6350 W 92ND AVE, UNIT A 400, WESTMINSTER, CO, 80031
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
SPENCER BARCLAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|