|
COLORADO DERMATOLOGY GROUP, PLLC 401(K) PLAN
|
2023
|
813218047
|
2024-05-24
|
COLORADO DERMATOLOGY GROUP, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9703054341
|
| Plan sponsor’s
address |
3609 S. TIMBERLINE RD. UNIT A, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-24 |
| Name of individual signing |
CINDY PETTY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COLORADO DERMATOLOGY GROUP, PLLC 401(K) PLAN
|
2022
|
813218047
|
2023-07-21
|
COLORADO DERMATOLOGY GROUP, PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9703054341
|
| Plan sponsor’s
address |
3609 S. TIMBERLINE RD., UNIT A, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-21 |
| Name of individual signing |
JOSEPH LILLIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COLORADO DERMATOLOGY GROUP, PLLC 401(K) PLAN
|
2021
|
813218047
|
2022-03-23
|
COLORADO DERMATOLOGY GROUP, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9703054341
|
| Plan sponsor’s
address |
3609 S. TIMBERLINE RD., UNIT 1, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2022-03-23 |
| Name of individual signing |
JOSEPH LILLIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COLORADO DERMATOLOGY GROUP, PLLC 401(K) PLAN
|
2020
|
813218047
|
2021-05-25
|
COLORADO DERMATOLOGY GROUP, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9703054341
|
| Plan sponsor’s
address |
3609 S. TIMBERLINE RD., UNIT 1, FORT COLLINS, CO, 80525
|
Signature of
| Role |
Plan administrator |
| Date |
2021-05-25 |
| Name of individual signing |
JOSEPH LILLIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COLORADO DERMATOLOGY GROUP, PLLC 401(K) PLAN
|
2019
|
813218047
|
2020-02-27
|
COLORADO DERMATOLOGY GROUP, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9703054341
|
| Plan sponsor’s
address |
2121 E. HARMONY ROAD, SUITE 270, FORT COLLINS, CO, 80528
|
Signature of
| Role |
Plan administrator |
| Date |
2020-02-27 |
| Name of individual signing |
JOSEPH LILLIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COLORADO DERMATOLOGY GROUP, PLLC 401(K) PLAN
|
2018
|
813218047
|
2019-03-01
|
COLORADO DERMATOLOGY GROUP, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9703054341
|
| Plan sponsor’s
address |
2121 E. HARMONY ROAD, SUITE 270, FORT COLLINS, CO, 80528
|
Signature of
| Role |
Plan administrator |
| Date |
2019-03-01 |
| Name of individual signing |
JOSEPH LILLIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
