|
WEST HILL FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
141938022
|
2013-07-24
|
WEST HILL FAMILY DENTAL, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605633303
|
| Plan sponsor’s
address |
132 NEW BRITAIN AVE., ROCKY HILL, CT, 06067
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-24 |
| Name of individual signing |
RAYMOND LAWRENCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-24 |
| Name of individual signing |
RAYMOND LAWRENCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WEST HILL FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
141938022
|
2012-05-15
|
WEST HILL FAMILY DENTAL, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605633303
|
| Plan sponsor’s
address |
132 NEW BRITAIN AVE., ROCKY HILL, CT, 06067
|
Plan administrator’s name and address
| Administrator’s EIN |
141938022 |
| Plan administrator’s name |
WEST HILL FAMILY DENTAL, LLC |
| Plan administrator’s
address |
132 NEW BRITAIN AVE., ROCKY HILL, CT, 06067 |
| Administrator’s telephone number |
8605633303 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-15 |
| Name of individual signing |
RAYMOND LAWRENCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WEST HILL FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
141938022
|
2011-06-27
|
WEST HILL FAMILY DENTAL, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605633303
|
| Plan sponsor’s
address |
132 NEW BRITAIN AVE., ROCKY HILL, CT, 06067
|
Plan administrator’s name and address
| Administrator’s EIN |
141938022 |
| Plan administrator’s name |
WEST HILL FAMILY DENTAL, LLC |
| Plan administrator’s
address |
132 NEW BRITAIN AVE., ROCKY HILL, CT, 06067 |
| Administrator’s telephone number |
8605633303 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-27 |
| Name of individual signing |
RAYMOND LAWRENCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WEST HILL FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
141938022
|
2010-07-09
|
WEST HILL FAMILY DENTAL, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605633303
|
| Plan sponsor’s
address |
132 NEW BRITAIN AVE., ROCKY HILL, CT, 06067
|
Plan administrator’s name and address
| Administrator’s EIN |
141938022 |
| Plan administrator’s name |
WEST HILL FAMILY DENTAL, LLC |
| Plan administrator’s
address |
132 NEW BRITAIN AVE., ROCKY HILL, CT, 06067 |
| Administrator’s telephone number |
8605633303 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-09 |
| Name of individual signing |
RAYMOND LAWRENCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
