|
AVON DENTAL GROUP, P. C. SAVINGS AND RETIREMENT PLAN
|
2019
|
060889279
|
2020-05-12
|
AVON DENTAL GROUP, P.C.
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-12 |
| Name of individual signing |
DANIEL GEELAN, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2018
|
060889279
|
2020-01-13
|
AVON DENTAL GROUP, P.C.
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2020-01-13 |
| Name of individual signing |
DANIEL GEELAN, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2017
|
060889279
|
2019-07-11
|
AVON DENTAL GROUP, P.C.
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-11 |
| Name of individual signing |
DANIEL GEELAN, DMD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2016
|
060889279
|
2018-01-17
|
AVON DENTAL GROUP, P.C.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2018-01-17 |
| Name of individual signing |
FRANK P. LOMBARDI, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2015
|
060889279
|
2016-12-15
|
AVON DENTAL GROUP, P.C.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2016-12-15 |
| Name of individual signing |
FRANK P. LOMBARDI, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2014
|
060889279
|
2016-07-11
|
AVON DENTAL GROUP, P.C.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-11 |
| Name of individual signing |
FRANK P. LOMBARDI, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2013
|
060889279
|
2015-01-05
|
AVON DENTAL GROUP, P.C.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2015-01-05 |
| Name of individual signing |
FRANK P. LOMBARDI, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2012
|
060889279
|
2014-02-18
|
AVON DENTAL GROUP, P.C.
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2014-02-18 |
| Name of individual signing |
FRANK P. LOMBARDI, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2011
|
060889279
|
2013-01-11
|
AVON DENTAL GROUP, P.C.
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Plan administrator’s name and address
| Administrator’s EIN |
060889279 |
| Plan administrator’s name |
AVON DENTAL GROUP, P.C. |
| Plan administrator’s
address |
20 WEST AVON ROAD, AVON, CT, 06001 |
| Administrator’s telephone number |
8606730451 |
Signature of
| Role |
Plan administrator |
| Date |
2013-01-11 |
| Name of individual signing |
FRANK P. LOMBARDI, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AVON DENTAL GROUP, P.C. SAVINGS AND RETIREMENT PLAN
|
2010
|
060889279
|
2012-02-28
|
AVON DENTAL GROUP, P.C.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606730451
|
| Plan sponsor’s
address |
20 WEST AVON ROAD, AVON, CT, 06001
|
Plan administrator’s name and address
| Administrator’s EIN |
060889279 |
| Plan administrator’s name |
AVON DENTAL GROUP, P.C. |
| Plan administrator’s
address |
20 WEST AVON ROAD, AVON, CT, 06001 |
| Administrator’s telephone number |
8606730451 |
Signature of
| Role |
Plan administrator |
| Date |
2012-02-28 |
| Name of individual signing |
FRANK P. LOMBARDI, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
