|
DENVER RESTORATIVE DENTISTRY 401(K) PLAN
|
2023
|
822364680
|
2024-07-29
|
DENVER RESTORATIVE DENTISTRY, PLLC
|
70
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3034274120
|
| Plan sponsor’s
address |
8181 ARISTA PLACE, STE 140, BROOMFIELD, CO, 80021
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-29 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-07-29 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENVER RESTORATIVE DENTISTRY 401(K) PLAN
|
2022
|
822364680
|
2023-06-16
|
DENVER RESTORATIVE DENTISTRY, PLLC
|
68
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3034274120
|
| Plan sponsor’s
address |
8181 ARISTA PLACE, STE 140, BROOMFIELD, CO, 80021
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-15 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-06-15 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENVER RESTORATIVE DENTISTRY 401(K) PLAN
|
2021
|
822364680
|
2022-07-27
|
DENVER RESTORATIVE DENTISTRY, PLLC
|
36
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3034274120
|
| Plan sponsor’s
address |
8181 ARISTA PLACE, STE 140, BROOMFIELD, CO, 80021
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-27 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-07-27 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENVER RESTORATIVE DENTISTRY 401(K) PLAN
|
2020
|
822364680
|
2021-09-20
|
DENVER RESTORATIVE DENTISTRY, PLLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3034274120
|
| Plan sponsor’s
address |
8181 ARISTA PLACE, STE 140, BROOMFIELD, CO, 80021
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-19 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-09-19 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENVER RESTORATIVE DENTISTRY 401(K) PLAN
|
2019
|
822364680
|
2020-06-01
|
DENVER RESTORATIVE DENTISTRY, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3034274120
|
| Plan sponsor’s
address |
8181 ARISTA PLACE, STE 140, BROOMFIELD, CO, 80021
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-01 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-06-01 |
| Name of individual signing |
TAYLOR GOGGINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
