|
RETIREMENT INCOME SECURITY PLAN-ARTER FAMILY DENTAL CARE
|
2023
|
824004413
|
2024-08-02
|
4 CORNERS DENTISTRY, LLC
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9705654702
|
| Plan sponsor’s
address |
18 S. BEECH ST, CORTEZ, CO, 81321
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2024-08-02 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RETIREMENT INCOME SECURITY PLAN-ARTER FAMILY DENTAL CARE
|
2023
|
824004413
|
2024-08-20
|
4 CORNERS DENTISTRY, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9705654702
|
| Plan sponsor’s
address |
18 S. BEECH ST, CORTEZ, CO, 81321
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2024-08-20 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RETIREMENT INCOME SECURITY PLAN-ARTER FAMILY DENTAL CARE
|
2022
|
824004413
|
2023-07-24
|
4 CORNERS DENTISTRY, LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9705654702
|
| Plan sponsor’s
address |
18 S. BEECH ST, CORTEZ, CO, 81321
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-24 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RETIREMENT INCOME SECURITY PLAN-ARTER FAMILY DENTAL CARE
|
2021
|
824004413
|
2022-07-26
|
4 CORNERS DENTISTRY, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9705654702
|
| Plan sponsor’s
address |
18 S. BEECH ST, CORTEZ, CO, 81321
|
Plan administrator’s name and address
| Administrator’s EIN |
821222973 |
| Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number |
8778602664 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-26 |
| Name of individual signing |
STEVEN STOUT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
