BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2017
|
061534544
|
2018-09-07
|
BURNSIDE DENTAL CARE, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
|
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2016
|
061534544
|
2017-10-03
|
BURNSIDE DENTAL CARE, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
|
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2015
|
061534544
|
2016-08-02
|
BURNSIDE DENTAL CARE, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
|
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2014
|
061534544
|
2015-05-13
|
BURNSIDE DENTAL CARE, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
Signature of
Role |
Plan administrator |
Date |
2015-05-13 |
Name of individual signing |
ROBERT A. KATZ, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2013
|
061534544
|
2014-07-28
|
BURNSIDE DENTAL CARE, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
ROBERT A. KATZ, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2012
|
061534544
|
2013-07-25
|
BURNSIDE DENTAL CARE, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
ROBERT A. KATZ, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2011
|
061534544
|
2012-10-11
|
BURNSIDE DENTAL CARE, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
ROBERT A. KATZ, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2010
|
061534544
|
2011-04-11
|
BURNSIDE DENTAL CARE, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
Signature of
Role |
Plan administrator |
Date |
2011-04-11 |
Name of individual signing |
ROBERT A. KATZ, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN
|
2009
|
061534544
|
2010-07-26
|
BURNSIDE DENTAL CARE, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602899558
|
Plan sponsor’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
|
Plan administrator’s name and address
Administrator’s EIN |
061534544 |
Plan administrator’s name |
BURNSIDE DENTAL CARE, P.C. |
Plan administrator’s
address |
270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108 |
Administrator’s telephone number |
8602899558 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
ROBERT A. KATZ, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|