PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES' 401(K) PLAN
|
2021
|
060900962
|
2022-10-13
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
DAVID GOTTLIEB, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-13 |
Name of individual signing |
DAVID GOTTLIEB, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES' 401(K) PLAN
|
2020
|
060900962
|
2021-10-15
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
DAVID GOTTLIEB, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-15 |
Name of individual signing |
DAVID GOTTLIEB, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES' 401(K) PLAN
|
2019
|
060900962
|
2020-07-05
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2020-07-05 |
Name of individual signing |
DAVID GOTTLIEB, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-05 |
Name of individual signing |
DAVID GOTTLIEB, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES' 401(K) PLAN
|
2018
|
060900962
|
2019-11-13
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2019-11-13 |
Name of individual signing |
DAVID GOTTLIEB, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-11-13 |
Name of individual signing |
DAVID GOTTLIEB, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES' 401(K) PLAN
|
2018
|
060900962
|
2019-10-15
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
6
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
DAVID GOTTLIEB, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
DAVID GOTTLIEB, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES' 401(K) PLAN
|
2017
|
060900962
|
2018-09-19
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2018-09-19 |
Name of individual signing |
DAVID GOTTLIEB, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-19 |
Name of individual signing |
DAVID GOTTLIEB, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES 401-K PLAN
|
2016
|
060900962
|
2017-10-09
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
DAVID GOTTLIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES 401-K PLAN
|
2015
|
060900962
|
2016-10-17
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
DAVID GOTTLIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTOLOGY ASSOCIATES OF NORWALK PC EMPLOYEES 401-K PLAN
|
2014
|
060900962
|
2015-10-15
|
PERIODONTOLOGY ASSOCIATES OF NORWALK, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2038531120
|
Plan sponsor’s
address |
10 MOTT AVENUE, NORWALK, CT, 068503320
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
DAVID GOTTLIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|