MOUNTAINSIDE MEDICAL 401(K) PLAN & TRUST
|
2016
|
203106962
|
2017-10-11
|
SUSAN NEIDECKER ENTERPRISES, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3032463846
|
Plan sponsor’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679
|
Signature of
Role |
Plan administrator |
Date |
2017-10-11 |
Name of individual signing |
MARNIE URBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE MEDICAL 401(K) PLAN & TRUST
|
2015
|
203106962
|
2016-10-17
|
SUSAN NEIDECKER ENTERPRISES, INC.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3032463846
|
Plan sponsor’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679
|
|
MOUNTAINSIDE MEDICAL 401(K) PLAN & TRUST
|
2014
|
203106962
|
2015-10-09
|
SUSAN NEIDECKER ENTERPRISES, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3032463846
|
Plan sponsor’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
LJ SUZUKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE MEDICAL 401(K) PLAN
|
2013
|
203106962
|
2014-05-12
|
SUSAN NEIDECKER ENTERPRISES, INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3032463846
|
Plan sponsor’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679
|
|
MOUNTAINSIDE MEDICAL 401(K) PLAN
|
2012
|
203106962
|
2013-06-29
|
SUSAN NEIDECKER ENTERPRISES, INC.
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3032463846
|
Plan sponsor’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679
|
Signature of
Role |
Plan administrator |
Date |
2013-06-29 |
Name of individual signing |
PETER NEIDECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-29 |
Name of individual signing |
PETER NEIDECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE MEDICAL 401(K) PLAN
|
2011
|
203106962
|
2012-05-31
|
SUSAN NEIDECKER ENTERPRISES, INC.
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3032463846
|
Plan sponsor’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679
|
Plan administrator’s name and address
Administrator’s EIN |
203106962 |
Plan administrator’s name |
SUSAN NEIDECKER ENTERPRISES, INC. |
Plan administrator’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679 |
Administrator’s telephone number |
3032463846 |
Signature of
Role |
Plan administrator |
Date |
2012-05-31 |
Name of individual signing |
PETER NEIDECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-31 |
Name of individual signing |
PETER NEIDECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE MEDICAL 401(K) PLAN
|
2010
|
203106962
|
2011-09-14
|
SUSAN NEIDECKER ENTERPRISES, INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3032463846
|
Plan sponsor’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679
|
Plan administrator’s name and address
Administrator’s EIN |
203106962 |
Plan administrator’s name |
SUSAN NEIDECKER ENTERPRISES, INC. |
Plan administrator’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679 |
Administrator’s telephone number |
3032463846 |
Signature of
Role |
Plan administrator |
Date |
2011-09-14 |
Name of individual signing |
PETER NEIDECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-14 |
Name of individual signing |
PETER NEIDECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAINSIDE MEDICAL 401(K) PLAN
|
2009
|
203106962
|
2010-09-08
|
SUSAN NEIDECKER ENTERPRISES, INC.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3032463846
|
Plan sponsor’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679
|
Plan administrator’s name and address
Administrator’s EIN |
203106962 |
Plan administrator’s name |
SUSAN NEIDECKER ENTERPRISES, INC. |
Plan administrator’s
address |
6165 LOOKOUT ROAD, BOULDER, CO, 803013679 |
Administrator’s telephone number |
3032463846 |
Signature of
Role |
Plan administrator |
Date |
2010-07-08 |
Name of individual signing |
PETER NEIDECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-08 |
Name of individual signing |
PETER NEIDECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|