BENCIVENGO & KO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2023
|
061018395
|
2024-03-20
|
BENCIVENGO & KO, D.M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2024-03-20 |
Name of individual signing |
VIVIAN CHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENCIVENGO & KO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2022
|
061018395
|
2023-05-15
|
BENCIVENGO & KO, D.M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2023-05-15 |
Name of individual signing |
VIVIAN CHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENCIVENGO & KO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
061018395
|
2022-05-26
|
BENCIVENGO & KO, D.M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2022-05-26 |
Name of individual signing |
I-HSIN CHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
061018395
|
2021-07-12
|
CHARLES J. BENCIVENGO, D.M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2021-07-12 |
Name of individual signing |
CHARLES BENCIVENGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
061018395
|
2020-06-08
|
CHARLES J. BENCIVENGO, D.M.D., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2020-06-08 |
Name of individual signing |
CHARLES BENCIVENGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
061018395
|
2019-04-29
|
CHARLES J. BENCIVENGO, D.M.D., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2019-04-29 |
Name of individual signing |
CHARLES BENCIVENGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-29 |
Name of individual signing |
CHARLES BENCIVENGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
061018395
|
2018-05-16
|
CHARLES J. BENCIVENGO, D.M.D., P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2018-05-16 |
Name of individual signing |
CHARLES J BENCIVENGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
061018395
|
2017-04-26
|
CHARLES J. BENCIVENGO, D.M.D., P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2017-04-26 |
Name of individual signing |
CHARLES J BENCIVENGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
061018395
|
2016-07-20
|
CHARLES J. BENCIVENGO, D.M.D., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2016-07-20 |
Name of individual signing |
CHARLES BENCIVENGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
061018395
|
2015-07-27
|
CHARLES J. BENCIVENGO, D.M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605828095
|
Plan sponsor’s
address |
21 PLEASANT STREET, BRISTOL, CT, 060106285
|
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
CHARLES BENCIVENGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|