|
WEST MAIN DENTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN
|
2014
|
061097474
|
2015-07-31
|
WEST MAIN DENTAL ASSOCIATES, PC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1995-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2037555641
|
| Plan sponsor’s
address |
1147 WEST MAIN ST., WATERBURY, CT, 06708
|
Plan administrator’s name and address
| Administrator’s EIN |
061097474 |
| Plan administrator’s name |
WEST MAIN DENTAL ASSOCIATES, PC |
| Plan administrator’s
address |
1147 WEST MAIN ST., WATERBURY, CT, 06708 |
| Administrator’s telephone number |
2037555641 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-31 |
| Name of individual signing |
TERENCE E. HICKEY DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WEST MAIN DENTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN
|
2013
|
061097474
|
2014-08-20
|
WEST MAIN DENTAL ASSOCIATES, PC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1995-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2037555641
|
| Plan sponsor’s
address |
1147 WEST MAIN ST., WATERBURY, CT, 06708
|
Plan administrator’s name and address
| Administrator’s EIN |
061097474 |
| Plan administrator’s name |
WEST MAIN DENTAL ASSOCIATES, PC |
| Plan administrator’s
address |
1147 WEST MAIN ST., WATERBURY, CT, 06708 |
| Administrator’s telephone number |
2037555641 |
Signature of
| Role |
Plan administrator |
| Date |
2014-08-20 |
| Name of individual signing |
TERENCE E. HICKEY DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WEST MAIN DENTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN
|
2012
|
061097474
|
2013-08-07
|
WEST MAIN DENTAL ASSOCIATES, PC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1995-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2037555641
|
| Plan sponsor’s
address |
1147 WEST MAIN ST., WATERBURY, CT, 06708
|
Plan administrator’s name and address
| Administrator’s EIN |
061097474 |
| Plan administrator’s name |
WEST MAIN DENTAL ASSOCIATES, PC |
| Plan administrator’s
address |
1147 WEST MAIN ST., WATERBURY, CT, 06708 |
| Administrator’s telephone number |
2037555641 |
Signature of
| Role |
Plan administrator |
| Date |
2013-08-07 |
| Name of individual signing |
TERENCE E. HICKEY DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WEST MAIN DENTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN
|
2011
|
061097474
|
2012-07-25
|
WEST MAIN DENTAL ASSOCIATES, PC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1995-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2037555641
|
| Plan sponsor’s
address |
1147 WEST MAIN ST., WATERBURY, CT, 06708
|
Plan administrator’s name and address
| Administrator’s EIN |
061097474 |
| Plan administrator’s name |
WEST MAIN DENTAL ASSOCIATES, PC |
| Plan administrator’s
address |
1147 WEST MAIN ST., WATERBURY, CT, 06708 |
| Administrator’s telephone number |
2037555641 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-25 |
| Name of individual signing |
TERENCE E. HICKEY DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
