GLASTONBURY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
061555798
|
2013-06-10
|
GLASTONBURY FAMILY DENTAL, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606336246
|
Plan sponsor’s
address |
2450 MAIN STREET, GLASTONBURY, CT, 06033
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
NIMESH PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
NIMESH PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLASTONBURY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
061555798
|
2012-04-20
|
GLASTONBURY FAMILY DENTAL, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606336246
|
Plan sponsor’s
address |
2450 MAIN STREET, GLASTONBURY, CT, 06033
|
Plan administrator’s name and address
Administrator’s EIN |
061555798 |
Plan administrator’s name |
GLASTONBURY FAMILY DENTAL, LLC |
Plan administrator’s
address |
2450 MAIN STREET, GLASTONBURY, CT, 06033 |
Administrator’s telephone number |
8606336246 |
Signature of
Role |
Plan administrator |
Date |
2012-04-20 |
Name of individual signing |
NIMESH PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLASTONBURY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
061555798
|
2011-05-13
|
GLASTONBURY FAMILY DENTAL, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606336246
|
Plan sponsor’s
address |
2450 MAIN STREET, GLASTONBURY, CT, 06033
|
Plan administrator’s name and address
Administrator’s EIN |
061555798 |
Plan administrator’s name |
GLASTONBURY FAMILY DENTAL, LLC |
Plan administrator’s
address |
2450 MAIN STREET, GLASTONBURY, CT, 06033 |
Administrator’s telephone number |
8606336246 |
Signature of
Role |
Plan administrator |
Date |
2011-05-13 |
Name of individual signing |
NIMESH PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLASTONBURY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
061555798
|
2010-08-20
|
GLASTONBURY FAMILY DENTAL, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606336246
|
Plan sponsor’s
address |
2450 MAIN STREET, GLASTONBURY, CT, 06033
|
Plan administrator’s name and address
Administrator’s EIN |
061555798 |
Plan administrator’s name |
GLASTONBURY FAMILY DENTAL, LLC |
Plan administrator’s
address |
2450 MAIN STREET, GLASTONBURY, CT, 06033 |
Administrator’s telephone number |
8606336246 |
Signature of
Role |
Plan administrator |
Date |
2010-08-20 |
Name of individual signing |
NIMESH PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|