KHODAKHAST DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
832487778
|
2024-04-11
|
KHODAKHAST DENTAL PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2022-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8166991234
|
Plan sponsor’s
address |
8120 S HOLLY STREET UNIT #208, CENTENNIAL, CO, 80122
|
Signature of
Role |
Plan administrator |
Date |
2024-04-11 |
Name of individual signing |
AVA KHODAKHAST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KHODAKHAST DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
832487778
|
2023-04-25
|
KHODAKHAST DENTAL PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2022-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8166991234
|
Plan sponsor’s
address |
8120 S HOLLY STREET UNIT #208, LITTLETON, CO, 80122
|
Signature of
Role |
Plan administrator |
Date |
2023-04-25 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|