|
OM DENTAL, LLC 401(K) PLAN
|
2023
|
474253709
|
2024-07-29
|
OM DENTAL LLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605958388
|
| Plan sponsor’s
address |
35 PEARL STREET, SUITE 202, NEW BRITAIN, CT, 06051
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-29 |
| Name of individual signing |
TAJESH GOHEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OM DENTAL, LLC 401(K) PLAN
|
2022
|
474253709
|
2023-09-19
|
OM DENTAL LLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605958388
|
| Plan sponsor’s
address |
35 PEARL STREET, SUITE 202, NEW BRITAIN, CT, 06051
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-19 |
| Name of individual signing |
TAJESH GOHEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OM DENTAL, LLC 401(K) PLAN
|
2021
|
474253709
|
2022-07-15
|
OM DENTAL LLC
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605958388
|
| Plan sponsor’s
address |
35 PEARL STREET, SUITE 202, NEW BRITAIN, CT, 06051
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-15 |
| Name of individual signing |
TAJESH GOHEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OM DENTAL, LLC 401(K) PLAN
|
2020
|
474253709
|
2021-07-19
|
OM DENTAL LLC
|
30
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605958388
|
| Plan sponsor’s
address |
35 PEARL STREET, SUITE 202, NEW BRITAIN, CT, 06051
|
|
|
OM DENTAL, LLC 401(K) PLAN
|
2019
|
474253709
|
2020-07-07
|
OM DENTAL LLC
|
26
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605958388
|
| Plan sponsor’s
address |
35 PEARL STREET, SUITE 202, NEW BRITAIN, CT, 06051
|
|
|
OM DENTAL, LLC 401(K) PLAN
|
2018
|
474253709
|
2019-07-11
|
OM DENTAL LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605958388
|
| Plan sponsor’s
address |
35 PEARL STREET, SUITE 202, NEW BRITAIN, CT, 06051
|
|
|
OM DENTAL LLC 401(K) PLAN
|
2017
|
474253709
|
2018-05-24
|
OM DENTAL LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
2033003417
|
| Plan sponsor’s
address |
35 PEARL ST. SUITE 202, NEW BRITAIN, CT, 060512645
|
Signature of
| Role |
Plan administrator |
| Date |
2018-05-24 |
| Name of individual signing |
TAJESH GOHEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-05-24 |
| Name of individual signing |
TAJESH GOHEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OM DENTAL LLC 401(K) PLAN
|
2016
|
474253709
|
2018-05-11
|
OM DENTAL LLC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-15
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602249956
|
| Plan sponsor’s
address |
35 PEARL STREET, SUITE 202, NEW BRITAIN, CT, 06051
|
|
