CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2016
|
061548069
|
2017-07-25
|
CHASE PARKWAY DENTAL LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
|
CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2015
|
061548069
|
2017-07-27
|
CHASE PARKWAY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-25 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2015
|
061548069
|
2016-10-14
|
CHASE PARKWAY DENTAL LLC
|
3
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
Signature of
Role |
Plan administrator |
Date |
2016-10-10 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-10 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2014
|
061548069
|
2015-10-01
|
CHASE PARKWAY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
Signature of
Role |
Plan administrator |
Date |
2015-09-28 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-28 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2013
|
061548069
|
2014-10-14
|
CHASE PARKWAY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2012
|
061548069
|
2013-10-10
|
CHASE PARKWAY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2011
|
061548069
|
2012-10-08
|
CHASE PARKWAY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
Plan administrator’s name and address
Administrator’s EIN |
061548069 |
Plan administrator’s name |
CHASE PARKWAY DENTAL LLC |
Plan administrator’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708 |
Administrator’s telephone number |
2037571455 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2010
|
061548069
|
2011-10-14
|
CHASE PARKWAY DENTAL LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
Plan administrator’s name and address
Administrator’s EIN |
061548069 |
Plan administrator’s name |
CHASE PARKWAY DENTAL LLC |
Plan administrator’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708 |
Administrator’s telephone number |
2037571455 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHASE PARKWAY DENTAL LLC PROFIT SHARING PLAN
|
2009
|
061548069
|
2010-10-13
|
CHASE PARKWAY DENTAL LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037571455
|
Plan sponsor’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708
|
Plan administrator’s name and address
Administrator’s EIN |
061548069 |
Plan administrator’s name |
CHASE PARKWAY DENTAL LLC |
Plan administrator’s
address |
714 CHASE PARKWAY, WATERBURY, CT, 06708 |
Administrator’s telephone number |
2037571455 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
BRETT ZANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|