ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2023
|
061055735
|
2024-03-24
|
ADVANCED PERIODONTICS,P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2024-03-24 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2022
|
061055735
|
2023-06-08
|
ADVANCED PERIODONTICS,P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2023-06-08 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2021
|
061055735
|
2022-06-13
|
ADVANCED PERIODONTICS,P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2022-06-13 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2020
|
061055735
|
2021-05-04
|
ADVANCED PERIODONTICS,P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2021-05-04 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2019
|
061055735
|
2020-08-25
|
ADVANCED PERIODONTICS,P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2020-08-25 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2018
|
061055735
|
2019-06-11
|
ADVANCED PERIODONTICS,P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2019-06-11 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2017
|
061055735
|
2018-09-25
|
ADVANCED PERIODONTICS,P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2018-09-25 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2016
|
061055735
|
2017-09-29
|
ADVANCED PERIODONTICS,P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2017-09-29 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2015
|
061055735
|
2016-10-13
|
ADVANCED PERIODONTICS,P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
60 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED PERIODONTICS, P.C. 401(K) PLAN
|
2014
|
061055735
|
2015-03-27
|
ADVANCED PERIODONTICS,P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032885916
|
Plan sponsor’s
address |
30 WASHINGTON AVENUE, HAMDEN, CT, 06518
|
Plan administrator’s name and address
Administrator’s EIN |
061055735 |
Plan administrator’s name |
ADVANCED PERIODONTICS,P.C. |
Plan administrator’s
address |
30 WASHINGTON AVENUE, HAMDEN, CT, 06518 |
Administrator’s telephone number |
2032885916 |
Signature of
Role |
Plan administrator |
Date |
2015-03-27 |
Name of individual signing |
BRIAN EVANS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|