|
CLARITY DERMATOLOGY 401(K) PLAN
|
2023
|
822302435
|
2024-07-09
|
CLARITY DERMATOLOGY PLLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7206867546
|
| Plan sponsor’s
address |
4350 LIMELIGHT AVE, STE 205, CASTLE ROCK, CO, 80109
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-09 |
| Name of individual signing |
JAMES JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CLARITY DERMATOLOGY, PLLC 401(K) P/S PLAN
|
2022
|
822302435
|
2023-04-13
|
CLARITY DERMATOLOGY, PLLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7202442359
|
| Plan sponsor’s
address |
4350 LIMELIGHT AVE STE 205, CASTLE ROCK, CO, 80109
|
Plan administrator’s name and address
| Administrator’s EIN |
822302435 |
| Plan administrator’s name |
CLARITY DERMATOLOGY, PLLC |
| Plan administrator’s
address |
4350 LIMELIGHT AVE STE 205, CASTLE ROCK, CO, 80109 |
| Administrator’s telephone number |
7202442359 |
Signature of
| Role |
Plan administrator |
| Date |
2023-04-13 |
| Name of individual signing |
JAMES JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CLARITY DERMATOLOGY, PLLC 401(K) P/S PLAN
|
2022
|
822302435
|
2023-03-29
|
CLARITY DERMATOLOGY, PLLC
|
16
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7202442359
|
| Plan sponsor’s
address |
4350 LIMELIGHT AVE STE 205, CASTLE ROCK, CO, 80109
|
Plan administrator’s name and address
| Administrator’s EIN |
822302435 |
| Plan administrator’s name |
CLARITY DERMATOLOGY, PLLC |
| Plan administrator’s
address |
4350 LIMELIGHT AVE STE 205, CASTLE ROCK, CO, 80109 |
| Administrator’s telephone number |
7202442359 |
Signature of
| Role |
Plan administrator |
| Date |
2023-03-29 |
| Name of individual signing |
JAMES JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CLARITY DERMATOLOGY, PLLC 401(K) P/S PLAN
|
2021
|
822302435
|
2022-06-20
|
CLARITY DERMATOLOGY, PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7202442359
|
| Plan sponsor’s
address |
4350 LIMELIGHT AVE STE 205, CASTLE ROCK, CO, 80109
|
Plan administrator’s name and address
| Administrator’s EIN |
822302435 |
| Plan administrator’s name |
CLARITY DERMATOLOGY, PLLC |
| Plan administrator’s
address |
4350 LIMELIGHT AVE STE 205, CASTLE ROCK, CO, 80109 |
| Administrator’s telephone number |
7202442359 |
Signature of
| Role |
Plan administrator |
| Date |
2022-06-20 |
| Name of individual signing |
JAMES JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PATRICIA SINOWAY MD PLLC DBA FHFD 401(K) P/S PLAN
|
2020
|
822302435
|
2021-07-21
|
CLARITY DERMATOLOGY, PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7202442359
|
| Plan sponsor’s
address |
4350 LIMELIGHT AVE STE 205, CASTLE ROCK, CO, 80109
|
Plan administrator’s name and address
| Administrator’s EIN |
822302435 |
| Plan administrator’s name |
CLARITY DERMATOLOGY, PLLC |
| Plan administrator’s
address |
4350 LIMELIGHT AVE STE 205, CASTLE ROCK, CO, 80109 |
| Administrator’s telephone number |
7202442359 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-21 |
| Name of individual signing |
JAMES JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
