|
KILLINGLY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
264025989
|
2024-09-12
|
KILLINGLY DENTAL CARE, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9788218397
|
| Plan sponsor’s
address |
1040 N MAIN ST, DAYVILLE, CT, 06241
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-12 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KILLINGLY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2022
|
264025989
|
2023-09-07
|
KILLINGLY DENTAL CARE
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8607791053
|
| Plan sponsor’s
address |
1040 NORTH MAIN STREET, DAYVILLE, CT, 06241
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-07 |
| Name of individual signing |
ALISON WHITE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KILLINGLY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2021
|
264025989
|
2022-10-05
|
KILLINGLY DENTAL CARE
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8607791053
|
| Plan sponsor’s
address |
1040 NORTH MAIN STREET, DAYVILLE, CT, 06241
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-05 |
| Name of individual signing |
ALISON WHITE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KILLINGLY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2020
|
264025989
|
2021-09-07
|
KILLINGLY DENTAL CARE
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8607791053
|
| Plan sponsor’s
address |
1040 NORTH MAIN STREET, DAYVILLE, CT, 06241
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-07 |
| Name of individual signing |
KIMBAL C. SHEFFIELD, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KILLINGLY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2019
|
264025989
|
2020-07-31
|
KILLINGLY DENTAL CARE
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8607791053
|
| Plan sponsor’s
address |
1040 NORTH MAIN STREET, DAYVILLE, CT, 06241
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-31 |
| Name of individual signing |
KIMBAL C. SHEFFIELD, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KILLINGLY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2018
|
264025989
|
2019-07-08
|
KILLINGLY DENTAL CARE
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8607791053
|
| Plan sponsor’s
address |
1040 NORTH MAIN STREET, DAYVILLE, CT, 06241
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-08 |
| Name of individual signing |
KIMBAL C. SHEFFIELD, D.D.S. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
