|
BEAUTIFUL SMILES WEST HARTFORD COSMETIC & FAMILY DENTISTRY 401(K) PLAN
|
2023
|
822680962
|
2024-02-15
|
KIEVIT DENTAL, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602324511
|
| Plan sponsor’s
address |
1017 FARMINGTON AVENUE, WEST HARTFORD, CT, 06107
|
Signature of
| Role |
Plan administrator |
| Date |
2024-02-15 |
| Name of individual signing |
ROBERT KIEVIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEAUTIFUL SMILES WEST HARTFORD COSMETIC & FAMILY DENTISTRY 401(K) PLAN
|
2022
|
822680962
|
2023-02-03
|
KIEVIT DENTAL, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602324511
|
| Plan sponsor’s
address |
1017 FARMINGTON AVENUE, WEST HARTFORD, CT, 06107
|
Signature of
| Role |
Plan administrator |
| Date |
2023-02-03 |
| Name of individual signing |
ROBERT KIEVIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEAUTIFUL SMILES WEST HARTFORD COSMETIC & FAMILY DENTISTRY 401(K) PLAN
|
2021
|
822680962
|
2022-03-01
|
KIEVIT DENTAL, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602324511
|
| Plan sponsor’s
address |
901 FARMINGTON AVENUE, WEST HARTFORD, CT, 06119
|
Signature of
| Role |
Plan administrator |
| Date |
2022-03-01 |
| Name of individual signing |
ROBERT KIEVIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEAUTIFUL SMILES WEST HARTFORD COSMETIC & FAMILY DENTISTRY 401(K) PLAN
|
2020
|
822680962
|
2021-02-02
|
KIEVIT DENTAL, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602324511
|
| Plan sponsor’s
address |
901 FARMINGTON AVENUE, WEST HARTFORD, CT, 06119
|
Signature of
| Role |
Plan administrator |
| Date |
2021-02-02 |
| Name of individual signing |
ROBERT KIEVIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEAUTIFUL SMILES WEST HARTFORD COSMETIC & FAMILY DENTISTRY 401(K) PLAN
|
2019
|
822680962
|
2020-01-30
|
KIEVIT DENTAL, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602324511
|
| Plan sponsor’s
address |
901 FARMINGTON AVENUE, WEST HARTFORD, CT, 06119
|
Signature of
| Role |
Plan administrator |
| Date |
2020-01-30 |
| Name of individual signing |
ROBERT KIEVIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEAUTIFUL SMILES WEST HARTFORD COSMETIC & FAMILY DENTISTRY 401(K) PLAN
|
2018
|
822680962
|
2019-03-25
|
KIEVIT DENTAL, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602324511
|
| Plan sponsor’s
address |
901 FARMINGTON AVENUE, WEST HARTFORD, CT, 06119
|
Signature of
| Role |
Plan administrator |
| Date |
2019-03-25 |
| Name of individual signing |
ROBERT KIEVIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
