DANIEL FISHER MD PLLC
|
2019
|
271451700
|
2020-06-02
|
DANIEL FISHER MD PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3034158636
|
Plan
sponsor’s DBA name |
DANIEL FISHER MD PLLC
|
Plan sponsor’s
address |
4801 RIVERBEND RD STE 100, BOULDER, CO, 803012626
|
Signature of
Role |
Plan administrator |
Date |
2020-06-02 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-02 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL FISHER MD PLLC
|
2018
|
271451700
|
2019-04-29
|
DANIEL FISHER MD PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3034158636
|
Plan
sponsor’s DBA name |
DANIEL FISHER MD PLLC
|
Plan sponsor’s
address |
4801 RIVERBEND RD STE 100, BOULDER, CO, 803012626
|
Signature of
Role |
Plan administrator |
Date |
2019-04-29 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-29 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL FISHER MD PLLC
|
2017
|
271451700
|
2018-05-07
|
DANIEL FISHER MD PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3034402433
|
Plan
sponsor’s DBA name |
DANIEL FISHER MD PLLC
|
Plan sponsor’s
address |
1155 ALPINE AVE STE 385, BOULDER, CO, 803043422
|
Signature of
Role |
Plan administrator |
Date |
2018-05-07 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-07 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL FISHER MD PLLC
|
2016
|
271451700
|
2017-05-09
|
DANIEL FISHER MD PLLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3034402456
|
Plan
sponsor’s DBA name |
DANIEL FISHER MD PLLC
|
Plan sponsor’s
address |
1155 ALPINE AVE STE 385, BOULDER, CO, 803043422
|
Signature of
Role |
Plan administrator |
Date |
2017-05-08 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-08 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL FISHER MD PLLC
|
2015
|
271451700
|
2016-05-02
|
DANIEL FISHER MD PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3034402456
|
Plan
sponsor’s DBA name |
DANIEL FISHER MD PLLC
|
Plan sponsor’s
address |
1155 ALPINE AVE STE 385, BOULDER, CO, 803043422
|
Signature of
Role |
Plan administrator |
Date |
2016-05-02 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-02 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL FISHER MD PLLC
|
2014
|
271451700
|
2016-05-09
|
DANIEL FISHER MD PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3034402456
|
Plan
sponsor’s DBA name |
DANIEL FISHER MD PLLC
|
Plan sponsor’s
address |
1155 ALPINE AVE, SUITE 385, BOULDER, CO, 80304
|
Signature of
Role |
Plan administrator |
Date |
2016-05-09 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-09 |
Name of individual signing |
DANIEL FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|