|
SHOFF SMILES PC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
812944390
|
2023-10-23
|
SHOFF SMILES PC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
561110
|
| Sponsor’s telephone number |
7196951004
|
| Plan sponsor’s
address |
624 MAIN STREET, WALSENBURG, CO, 81089
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-23 |
| Name of individual signing |
JAMES SHOFF |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHOFF SMILES PC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
812944390
|
2022-07-05
|
SHOFF SMILES PC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
561110
|
| Sponsor’s telephone number |
7196951004
|
| Plan sponsor’s
address |
624 MAIN STREET, WALSENBURG, CO, 81089
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-05 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHOFF SMILES PC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
812944390
|
2021-05-26
|
SHOFF SMILES PC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
561110
|
| Sponsor’s telephone number |
7196951004
|
| Plan sponsor’s
address |
624 MAIN STREET, WALSENBURG, CO, 81089
|
Signature of
| Role |
Plan administrator |
| Date |
2021-05-26 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHOFF SMILES PC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
812944390
|
2020-06-01
|
SHOFF SMILES PC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
561110
|
| Sponsor’s telephone number |
7196951004
|
| Plan sponsor’s
address |
9415 STONEGLEN DR, COLORADO SPRINGS, CO, 80920
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-01 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
