CRAWFORD DENTAL GROUP RETIREMENT TRUST
|
2023
|
452510704
|
2024-07-26
|
CRAWFORD DENTAL GROUP LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
8609972318
|
Plan sponsor’s
address |
1185 MAIN ST, SUITE 3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2024-07-26 |
Name of individual signing |
MICHAEL CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRAWFORD DENTAL GROUP RETIREMENT TRUST
|
2022
|
452510704
|
2023-07-31
|
CRAWFORD DENTAL GROUP LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
8609972318
|
Plan sponsor’s
address |
1185 MAIN ST, SUITE 3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
MICHAEL CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRAWFORD DENTAL GROUP RETIREMENT TRUST
|
2021
|
452510704
|
2022-09-13
|
CRAWFORD DENTAL GROUP LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
8609972318
|
Plan sponsor’s
address |
1185 MAIN ST, SUITE 3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2022-09-13 |
Name of individual signing |
MICHAEL CRAWFRD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRAWFORD DENTAL GROUP RETIREMENT PLAN
|
2020
|
452510704
|
2021-07-06
|
CRAWFORD DENTAL GROUP LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8609972318
|
Plan sponsor’s
address |
1185 MAIN ST SUITE #3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2021-07-06 |
Name of individual signing |
MIKE CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRAWFORD DENTAL GROUP RETIREMENT PLAN
|
2019
|
452510704
|
2020-12-16
|
CRAWFORD DENTAL GROUP LLC
|
2
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8609972318
|
Plan sponsor’s
address |
1185 MAIN ST SUITE #3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2020-12-16 |
Name of individual signing |
MIKE CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRAWFORD DENTAL GROUP RETIREMENT PLAN
|
2019
|
452510704
|
2021-01-30
|
CRAWFORD DENTAL GROUP
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8609972318
|
Plan sponsor’s
address |
1185 MAIN ST STE 3, WILLIMANTIC, CT, 062262093
|
|
CRAWFORD DENTAL GROUP RETIREMENT PLAN
|
2019
|
452510704
|
2020-12-10
|
CRAWFORD DENTAL GROUP LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8609972318
|
Plan sponsor’s
address |
1185 MAIN ST SUITE #3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2020-12-10 |
Name of individual signing |
MIKE CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRAWFORD DENTAL GROUP, LLC RETIREMENT PLAN
|
2017
|
452510704
|
2019-08-28
|
CRAWFORD DENTAL GROUP
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604231357
|
Plan sponsor’s
address |
1185 MAIN STREET, SUITE 3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2019-08-28 |
Name of individual signing |
MICHAEL CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRAWFORD DENTAL GROUP, LLC RETIREMENT PLAN
|
2016
|
452510704
|
2017-11-08
|
CRAWFORD DENTAL GROUP
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604231357
|
Plan sponsor’s
address |
1185 MAIN STREET, SUITE 3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2017-11-08 |
Name of individual signing |
MICHAEL CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRAWFORD DENTAL GROUP, LLC RETIREMENT PLAN
|
2015
|
452510704
|
2016-10-06
|
CRAWFORD DENTAL GROUP
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604231357
|
Plan sponsor’s
address |
1185 MAIN STREET, SUITE 3, WILLIMANTIC, CT, 06226
|
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
MICHAEL CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|