|
AJ CANON DENTAL, PLLC 401(K) & PROFITSHARING PLAN
|
2021
|
473268015
|
2022-05-11
|
AJ CANON DENTAL, PLLC
|
11
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6507220005
|
| Plan sponsor’s
address |
1227 S 9TH STREET, CANON CITY, CO, 81212
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-10 |
| Name of individual signing |
ALLEN LEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-05-10 |
| Name of individual signing |
ALLEN LEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AJ CANON DENTAL, PLLC 401K & PROFIT SHARING PLAN
|
2018
|
473268015
|
2019-09-24
|
AJ CANON DENTAL PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6507220005
|
| Plan sponsor’s
address |
1227 S 9TH ST, CANON CITY, CO, 81212
|
Signature of
| Role |
Plan administrator |
| Date |
2019-09-24 |
| Name of individual signing |
ALLEN LEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AJ CANON DENTAL, PLLC 401K & PROFIT SHARING PLAN
|
2017
|
473268015
|
2018-07-17
|
AJ CANON DENTAL PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6507220005
|
| Plan sponsor’s
address |
1227 S 9TH ST, CANON CITY, CO, 81212
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-17 |
| Name of individual signing |
ALLEN LEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
