|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2019
|
061402063
|
2020-07-21
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2019
|
061402063
|
2020-09-08
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2018
|
061402063
|
2019-05-08
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2017
|
061402063
|
2018-10-09
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2016
|
061402063
|
2017-06-28
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2015
|
061402063
|
2016-09-20
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2014
|
061402063
|
2015-09-11
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2013
|
061402063
|
2014-05-28
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2012
|
061402063
|
2013-02-14
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
Signature of
| Role |
Plan administrator |
| Date |
2013-02-14 |
| Name of individual signing |
PATRICIA A BENDICK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-02-14 |
| Name of individual signing |
PATRICIA A BENDICK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. RETIREMENT/401K PLAN
|
2011
|
061402063
|
2012-06-07
|
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032569500
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430
|
Plan administrator’s name and address
| Administrator’s EIN |
061402063 |
| Plan administrator’s name |
FAIRFIELD ORTHODONTIC ASSOCIATES, P.C. |
| Plan administrator’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 06430 |
| Administrator’s telephone number |
2032569500 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-07 |
| Name of individual signing |
PATRICIA A BENDICK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-07 |
| Name of individual signing |
PATRICIA A BENDICK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
