|
STONINGTON DENTAL ASSOCIATES, PLLC 401(K) RETIREMENT PLAN
|
2023
|
825206393
|
2024-10-08
|
STONINGTON DENTAL ASSOCIATES, PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605994265
|
| Plan sponsor’s
address |
20 S. ANGUILLA RD, PAWCATUCK, CT, 06379
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2024-10-08 |
| Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STONINGTON DENTAL ASSOCIATES, PLLC 401(K) RETIREMENT PLAN
|
2022
|
825206393
|
2023-07-11
|
STONINGTON DENTAL ASSOCIATES, PLLC
|
26
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605992505
|
| Plan sponsor’s
address |
20 SOUTH ANGUILLA ROAD, SUITE 1, PAWCATUCK, CT, 06379
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-11 |
| Name of individual signing |
SHANTHI CARIAPPA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STONINGTON DENTAL ASSOCIATES, PLLC 401(K) RETIREMENT PLAN
|
2021
|
825206393
|
2022-10-12
|
STONINGTON DENTAL ASSOCIATES, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605992505
|
| Plan sponsor’s
address |
20 SOUTH ANGUILLA ROAD, SUITE 1, PAWCATUCK, CT, 06379
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-12 |
| Name of individual signing |
SHANTHI CARIAPPA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STONINGTON DENTAL ASSOCIATES, PLLC 401(K) RETIREMENT PLAN
|
2020
|
825206393
|
2021-09-16
|
STONINGTON DENTAL ASSOCIATES, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605992505
|
| Plan sponsor’s
address |
20 S. ANGUILLA ROAD, SUITE 1, PAWCATUCK, CT, 06379
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-16 |
| Name of individual signing |
SHANTHI CARIAPPA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STONINGTON DENTAL ASSOCIATES, PLLC 401(K) RETIREMENT PLAN
|
2019
|
825206393
|
2020-10-15
|
STONINGTON DENTAL ASSOCIATES, PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605992505
|
| Plan sponsor’s
address |
20 S. ANGUILLA ROAD, SUITE 1, PAWCATUCK, CT, 06379
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-15 |
| Name of individual signing |
SHANTHI CARIAPPA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
