AMY ROBERTS DDS 401K PLAN
|
2023
|
821150207
|
2024-12-15
|
AMY ROBERTS DDS PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-13
|
Business code |
621210
|
Sponsor’s telephone number |
3036833332
|
Plan sponsor’s
address |
300 PLAZA DR UNIT 150, HIGHLANDS RANCH, CO, 80129
|
Signature of
Role |
Plan administrator |
Date |
2024-12-15 |
Name of individual signing |
AMY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMY ROBERTS DDS 401K PLAN
|
2023
|
821150207
|
2024-11-12
|
AMY ROBERTS DDS PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-13
|
Business code |
621210
|
Sponsor’s telephone number |
3036833332
|
Plan sponsor’s
address |
300 PLAZA DR UNIT 150, HIGHLANDS RANCH, CO, 80129
|
Signature of
Role |
Plan administrator |
Date |
2024-11-12 |
Name of individual signing |
AMY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMY ROBERTS DDS 401K PLAN
|
2022
|
821150207
|
2023-05-31
|
AMY ROBERTS DDS PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-13
|
Business code |
621210
|
Sponsor’s telephone number |
3036833332
|
Plan sponsor’s
address |
300 PLAZA DR UNIT 102, HIGHLANDS RANCH, CO, 80129
|
Signature of
Role |
Plan administrator |
Date |
2023-05-31 |
Name of individual signing |
AMY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMY ROBERTS DDS 401K PLAN
|
2021
|
821150207
|
2022-07-20
|
AMY ROBERTS DDS PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-13
|
Business code |
621210
|
Sponsor’s telephone number |
3036833332
|
Plan sponsor’s
address |
300 PLAZA DR UNIT 102, HIGHLANDS RANCH, CO, 80129
|
Signature of
Role |
Plan administrator |
Date |
2022-07-20 |
Name of individual signing |
AMY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMY ROBERTS DDS 401K PLAN
|
2020
|
821150207
|
2021-06-30
|
AMY ROBERTS DDS PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-13
|
Business code |
621210
|
Sponsor’s telephone number |
3036833332
|
Plan sponsor’s
address |
300 PLAZA DR UNIT 102, HIGHLANDS RANCH, CO, 80129
|
Signature of
Role |
Plan administrator |
Date |
2021-06-30 |
Name of individual signing |
AMY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMY ROBERTS DDS 401K PLAN
|
2019
|
821150207
|
2020-07-24
|
AMY ROBERTS DDS PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-13
|
Business code |
621210
|
Sponsor’s telephone number |
3036833332
|
Plan sponsor’s
address |
300 PLAZA DR UNIT 102, HIGHLANDS RANCH, CO, 80129
|
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
AMY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMY ROBERTS DDS PLLC (DBA 303 DENTA
|
2016
|
814578535
|
2017-06-27
|
AMY ROBERTS DDS, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-13
|
Business code |
621210
|
Sponsor’s telephone number |
3036833332
|
Plan sponsor’s
address |
300 PLAZA DR STE 102, HGHLNDS RANCH, CO, 80129
|
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
AMY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|