COSMETIC & PREVENTIVE DENTISTRY, INC. 401(K) PLAN
|
2022
|
223823666
|
2023-11-21
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2023-11-21 |
Name of individual signing |
JEFFREY BABUSHKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COSMETIC & PREVENTIVE DENTISTRY 401(K) PLAN
|
2019
|
223823666
|
2020-10-15
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
JEFFREY BABUSHKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN
|
2018
|
223823666
|
2019-10-15
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
JEFFREY BABUSHKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY A. BABUSHKIN, D.D.S. PROFIT SHARING PLAN
|
2017
|
061300901
|
2018-10-15
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JEFFREY BABUSHKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
JEFFREY BABUSHKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN
|
2017
|
223823666
|
2018-10-15
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JEFFREY BABUSHKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
JEFFREY BABUSHKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY A. BABUSHKIN, D.D.S. PROFIT SHARING PLAN
|
2016
|
061300901
|
2018-01-16
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2018-01-16 |
Name of individual signing |
LOUIS A. LONETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN
|
2016
|
061300901
|
2018-01-16
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2018-01-16 |
Name of individual signing |
LOUIS A. LONETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY A. BABUSHKIN, D.D.S. PROFIT SHARING PLAN
|
2015
|
061300901
|
2016-10-15
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2016-10-15 |
Name of individual signing |
LOUIS A. LONETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN
|
2015
|
061300901
|
2016-10-15
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2016-10-15 |
Name of individual signing |
LOUIS A. LONETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN
|
2014
|
061300901
|
2015-09-17
|
COSMETIC AND PREVENTIVE DENTISTRY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032685881
|
Plan sponsor’s
address |
888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
|
Signature of
Role |
Plan administrator |
Date |
2015-09-17 |
Name of individual signing |
LOUIS A. LONETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|