DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
363253503
|
2022-04-07
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2022-04-07 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
363253503
|
2021-10-13
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
363253503
|
2020-08-17
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2020-08-17 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
363253503
|
2019-07-09
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2019-07-09 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
363253503
|
2018-10-09
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
363253503
|
2017-07-27
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
363253503
|
2016-10-13
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
363253503
|
2015-10-15
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
363253503
|
2014-10-15
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS R. COLTHURST, D.D.S., INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
363253503
|
2013-10-15
|
DOUGLAS R. COLTHURST, D.D.S., INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153440453
|
Plan sponsor’s
address |
3420 WEST ELM STREET, MCHENRY, IL, 600504433
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
DOUGLAS R. COLTHURST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|