|
CASEY KLEIN DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
820615552
|
2024-07-10
|
CASEY KLEIN DDS PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039842630
|
| Plan sponsor’s
address |
4101 E 48TH AVE, DENVER, CO, 80228
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-10 |
| Name of individual signing |
TIGER LANSING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CASEY KLEIN DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
820615552
|
2023-07-31
|
CASEY KLEIN DDS PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039842630
|
| Plan sponsor’s
address |
4101 E 48TH AVE, DENVER, CO, 80228
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-31 |
| Name of individual signing |
TIGER LANSING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CASEY KLEIN DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
820615552
|
2022-05-23
|
CASEY KLEIN DDS PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039842630
|
| Plan sponsor’s
address |
12790 W ALAMEDA PKWY, STE B, LAKEWOOD, CO, 80228
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-23 |
| Name of individual signing |
TIGER LANSING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CASEY KLEIN DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
820615552
|
2021-06-03
|
CASEY KLEIN DDS PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039842630
|
| Plan sponsor’s
address |
12790 WEST ALAMEDA PKWY, STE B, LAKEWOOD, CO, 80228
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-03 |
| Name of individual signing |
ANDREW LANSING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
