|
JOHN L. CEPLENSKI, JR., D.D.S., P.C. 401(K) PLAN AND TRUST
|
2011
|
060978899
|
2012-04-26
|
JOHN L. CEPLENSKI, JR., D.D.S., P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-05-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606213032
|
| Plan sponsor’s
address |
25 MOORELAND DRIVE, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
060978899 |
| Plan administrator’s name |
JOHN L. CEPLENSKI, JR., D.D.S., P.C. |
| Plan administrator’s
address |
25 MOORELAND DRIVE, SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606213032 |
Signature of
| Role |
Plan administrator |
| Date |
2012-04-26 |
| Name of individual signing |
JOHN L. CEPLENSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOHN L. CEPLENSKI, JR., D.D.S., P.C. 401(K) PLAN AND TRUST
|
2010
|
060978899
|
2011-06-27
|
JOHN L. CEPLENSKI, JR., D.D.S., P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-05-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606213032
|
| Plan sponsor’s
address |
25 MOORELAND DRIVE, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
060978899 |
| Plan administrator’s name |
JOHN L. CEPLENSKI, JR., D.D.S., P.C. |
| Plan administrator’s
address |
25 MOORELAND DRIVE, SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606213032 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-27 |
| Name of individual signing |
JOHN L. CEPLENSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOHN L. CEPLENSKI, JR., D.D.S., P.C. 401(K) PLAN AND TRUST
|
2009
|
060978899
|
2010-12-08
|
JOHN L. CEPLENSKI, JR., D.D.S., P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-05-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606285531
|
| Plan sponsor’s
address |
27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
060978899 |
| Plan administrator’s name |
JOHN L. CEPLENSKI, JR., D.D.S., P.C. |
| Plan administrator’s
address |
27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606285531 |
Signature of
| Role |
Plan administrator |
| Date |
2010-12-08 |
| Name of individual signing |
JOHN L. CEPLENSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
