|
MALLORY BURCK DDS 401(K) PLAN
|
2023
|
874064477
|
2024-05-06
|
MALLORY BURCK DDS PLLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6825545487
|
| Plan sponsor’s
address |
6825 E HAMPDEN AVE, SUITE 201, DENVER, CO, 80224
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2024-05-06 |
| Name of individual signing |
QIAN LIU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MALLORY BURCK DDS 401(K) PLAN
|
2022
|
874064477
|
2023-05-28
|
MALLORY BURCK DDS PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6825545487
|
| Plan sponsor’s
address |
6825 E HAMPDEN AVE, SUITE 201, DENVER, CO, 80224
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2023-05-27 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
