ANGIE LEE PERIODONTICS 401(K) PLAN
|
2021
|
462589040
|
2022-02-20
|
ANGIE LEE, DMD, MS, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9709995126
|
Plan sponsor’s
address |
1001-A E. HARMONY RD, #20, FORT COLLINS, CO, 80525
|
Signature of
Role |
Plan administrator |
Date |
2022-02-20 |
Name of individual signing |
ANGIE LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGIE LEE PERIODONTICS 401(K) PLAN
|
2020
|
462589040
|
2021-02-25
|
ANGIE LEE, DMD, MS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9709995126
|
Plan sponsor’s
address |
1001-A E. HARMONY RD, #20, FORT COLLINS, CO, 80525
|
Signature of
Role |
Plan administrator |
Date |
2021-02-25 |
Name of individual signing |
ANGIE LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGIE LEE PERIODONTICS 401(K) PLAN
|
2019
|
462589040
|
2020-03-05
|
ANGIE LEE, DMD, MS, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9709995126
|
Plan sponsor’s
address |
1001-A E. HARMONY RD, #20, FORT COLLINS, CO, 80525
|
Signature of
Role |
Plan administrator |
Date |
2020-03-05 |
Name of individual signing |
ANGIE LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGIE LEE PERIODONTICS 401(K) PLAN
|
2018
|
462589040
|
2019-01-28
|
ANGIE LEE, DMD, MS, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9709995126
|
Plan sponsor’s
address |
1001-A E. HARMONY RD, #20, FORT COLLINS, CO, 80525
|
Signature of
Role |
Plan administrator |
Date |
2019-01-28 |
Name of individual signing |
ANGIE LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGIE LEE PERIODONTICS 401(K) PLAN
|
2017
|
462589040
|
2018-01-31
|
ANGIE LEE, DMD, MS, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9709995126
|
Plan sponsor’s
address |
4803 BOARDWALK DRIVE, SUITE 110, FORT COLLINS, CO, 80525
|
Signature of
Role |
Plan administrator |
Date |
2018-01-31 |
Name of individual signing |
ANGIE LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGIE LEE PERIODONTICS 401(K) PLAN
|
2016
|
462589040
|
2017-02-10
|
ANGIE LEE, DMD, MS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9709995126
|
Plan sponsor’s
address |
1220 OAK PARK DRIVE, SUITE 110, FORT COLLINS, CO, 80525
|
Signature of
Role |
Plan administrator |
Date |
2017-02-10 |
Name of individual signing |
ANGIE LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGIE LEE PERIODONTICS 401(K) PLAN
|
2015
|
462589040
|
2016-03-15
|
ANGIE LEE, DMD, MS, PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9709995126
|
Plan sponsor’s
address |
1220 OAK PARK DRIVE, SUITE 110, FORT COLLINS, CO, 80525
|
Signature of
Role |
Plan administrator |
Date |
2016-03-15 |
Name of individual signing |
ANGIE LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|