|
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN
|
2023
|
834673958
|
2024-10-15
|
CARLSON DENTAL PLLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1996-09-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039326018
|
| Plan sponsor’s
address |
9859 W COAL MINE AVE, LITTLETON, CO, 80123
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-15 |
| Name of individual signing |
VANCE CARLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLSON DENTAL PLLC CASH BALANCE PLAN
|
2023
|
834673958
|
2024-10-03
|
CARLSON DENTAL PLLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039326018
|
| Plan sponsor’s
address |
9859 W COAL MINE AVE, LITTLETON, CO, 80123
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-03 |
| Name of individual signing |
VANCE CARLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN
|
2022
|
844673958
|
2023-10-12
|
CARLSON DENTAL PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1996-09-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039326018
|
| Plan sponsor’s
address |
9859 W COAL MINE AVE, LITTLETON, CO, 80123
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-12 |
| Name of individual signing |
VANCE CARLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLSON DENTAL PLLC CASH BALANCE PLAN
|
2022
|
834673958
|
2023-10-04
|
CARLSON DENTAL PLLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039326018
|
| Plan sponsor’s
address |
9859 W COAL MINE AVE, SUITE 200, LITTLETON, CO, 80123
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-04 |
| Name of individual signing |
VANCE CARLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLSON DENTAL PLLC CASH BALANCE PLAN
|
2021
|
834673958
|
2022-09-23
|
CARLSON DENTAL PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2021-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3039326018
|
| Plan sponsor’s
address |
7325 S PIERCE ST., SUITE 200, LITTLETON, CO, 80128
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-23 |
| Name of individual signing |
VANCE CARLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
