|
GUY LEAVITT, DDS, PC 401(K) PLAN
|
2021
|
472030249
|
2022-10-17
|
GUY LEAVITT, DDS, PC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
9702670993
|
| Plan sponsor’s
address |
3950 JOHN F. KENNEDY PKWY. #E, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-17 |
| Name of individual signing |
GUY LEAVITT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GUY LEAVITT, DDS, PC 401(K) PLAN
|
2020
|
472030249
|
2021-10-07
|
GUY LEAVITT, DDS, PC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
9702670993
|
| Plan sponsor’s
address |
3950 JOHN F. KENNEDY PKWY. #E, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-07 |
| Name of individual signing |
GUY LEAVITT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GUY LEAVITT, DDS, PC 401(K) PLAN
|
2019
|
472030249
|
2020-07-30
|
GUY LEAVITT, DDS, PC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
9702670993
|
| Plan sponsor’s
address |
3950 JOHN F. KENNEDY PKWY. #E, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-30 |
| Name of individual signing |
GUY LEAVITT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GUY LEAVITT, DDS, PC 401(K) PLAN
|
2018
|
472030249
|
2019-07-31
|
GUY LEAVITT, DDS, PC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
9702670993
|
| Plan sponsor’s
address |
3950 JOHN F. KENNEDY PKWY. #E, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-31 |
| Name of individual signing |
GUY LEAVITT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GUY LEAVITT, DDS, PC 401(K) PLAN
|
2017
|
472030249
|
2018-06-26
|
GUY LEAVITT, DDS, PC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
9702670993
|
| Plan sponsor’s
address |
3950 JOHN F. KENNEDY PKWY. #E, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-26 |
| Name of individual signing |
GUY LEAVITT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GUY LEAVITT, DDS, PC 401(K) PLAN
|
2016
|
472030249
|
2017-06-13
|
GUY LEAVITT, DDS, PC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
9702670993
|
| Plan sponsor’s
address |
3950 JOHN F. KENNEDY PKWY. #E, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-13 |
| Name of individual signing |
GUY LEAVITT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GUY LEAVITT, DDS, PC 401(K) PLAN
|
2015
|
472030249
|
2016-09-13
|
GUY LEAVITT, DDS, PC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
9702670993
|
| Plan sponsor’s
address |
3950 JOHN F. KENNEDY PKWY. #E, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2016-09-13 |
| Name of individual signing |
GUY LEAVITT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
