SAGE DENTISTRY II PLLC 401(K) PLAN
|
2020
|
474159505
|
2022-01-12
|
SAGE DENTISTRY II PLLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2022-01-12 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAGE DENTISTRY II PLLC 401(K) PLAN
|
2020
|
474159505
|
2021-09-24
|
SAGE DENTISTRY II PLLC
|
60
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2021-09-24 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAGE DENTISTRY II PLLC 401(K) PLAN
|
2019
|
474159505
|
2020-10-15
|
SAGE DENTISTRY II PLLC
|
34
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAGE DENTISTRY II PLLC 401(K) PLAN
|
2019
|
474159505
|
2020-11-03
|
SAGE DENTISTRY II PLLC
|
38
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2020-11-03 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAGE DENTISTRY II PLLC 401(K) PLAN
|
2019
|
474159505
|
2021-08-30
|
SAGE DENTISTRY II PLLC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2021-08-30 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAGE DENTISTRY II PLLC 401(K) PLAN
|
2018
|
474159505
|
2019-09-18
|
SAGE DENTISTRY II PLLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAGE DENTISTRY II PLLC 401(K) PLAN
|
2017
|
474159505
|
2018-08-24
|
SAGE DENTISTRY II PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2018-08-24 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAGE DENTISTRY II PLLC 401(K) PLAN
|
2016
|
474159505
|
2017-10-04
|
SAGE DENTISTRY II PLLC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2017-10-04 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAGE DENTISTRY II PLLC 401(K) PLAN
|
2016
|
474159505
|
2018-08-24
|
SAGE DENTISTRY II PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3034441234
|
Plan sponsor’s
address |
2750 W. 29TH AVENUE, DENVER, CO, 80211
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2018-08-24 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|