NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2023
|
810757679
|
2024-06-14
|
NEW FAIRFIELD DENTAL, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE RD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Signature of
Role |
Plan administrator |
Date |
2024-06-14 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2022
|
810757679
|
2023-03-15
|
NEW FAIRFIELD DENTAL, LLC
|
12
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2023-03-15 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2022
|
810757679
|
2023-04-21
|
NEW FAIRFIELD DENTAL, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2023-04-21 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2021
|
810757679
|
2022-05-12
|
NEW FAIRFIELD DENTAL, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2022-05-12 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2020
|
810757679
|
2021-04-27
|
NEW FAIRFIELD DENTAL, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2021-04-27 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2019
|
810757679
|
2020-05-12
|
NEW FAIRFIELD DENTAL, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2020-05-12 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2018
|
810757679
|
2019-04-05
|
NEW FAIRFIELD DENTAL, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2019-04-05 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2017
|
810757679
|
2018-03-12
|
NEW FAIRFIELD DENTAL, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2018-03-12 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, LLC 401(K) P/S PLAN
|
2016
|
810757679
|
2017-05-05
|
NEW FAIRFIELD DENTAL, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2017-05-05 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEW FAIRFIELD DENTAL, PC 401(K) P/S PLAN
|
2015
|
810757679
|
2016-06-24
|
NEW FAIRFIELD DENTAL, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8572225011
|
Plan sponsor’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812
|
Plan administrator’s name and address
Administrator’s EIN |
810757679 |
Plan administrator’s name |
NEW FAIRFIELD DENTAL, LLC |
Plan administrator’s
address |
132 STATE ROAD 37, UNIT B, NEW FAIRFIELD, CT, 06812 |
Administrator’s telephone number |
8572225011 |
Signature of
Role |
Plan administrator |
Date |
2016-06-24 |
Name of individual signing |
JOSHUA QUINBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|