BGR DENTAL RETIREMENT PLAN & TRUST
|
2023
|
463058595
|
2024-09-04
|
BGR DENTAL, PLLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 S ASH, YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2024-09-04 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2023
|
463058595
|
2024-09-26
|
BGR DENTAL, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2024-09-26 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2022
|
463058595
|
2023-10-03
|
BGR DENTAL, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL RETIREMENT PLAN & TRUST
|
2022
|
463058595
|
2023-10-10
|
BGR DENTAL, PLLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL RETIREMENT PLAN & TRUST
|
2021
|
463058595
|
2022-10-14
|
BGR DENTAL, PLLC
|
20
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2021
|
463058595
|
2022-10-14
|
BGR DENTAL, PLLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL RETIREMENT PLAN & TRUST
|
2021
|
463058595
|
2023-10-03
|
BGR DENTAL, PLLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2020
|
463058595
|
2021-08-20
|
BGR DENTAL, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2021-08-20 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL RETIREMENT PLAN & TRUST
|
2020
|
463058595
|
2021-08-20
|
BGR DENTAL, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2021-08-20 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BGR DENTAL DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2019
|
463058595
|
2020-09-08
|
BGR DENTAL, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9708485777
|
Plan sponsor’s
address |
900 SOUTH ASH ST., YUMA, CO, 80759
|
Signature of
Role |
Plan administrator |
Date |
2020-09-08 |
Name of individual signing |
BEN GARDNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|