LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2016
|
061550715
|
2017-08-28
|
LATVIS FAMILY DENTISTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Plan administrator’s name and address
Administrator’s EIN |
061550715 |
Plan administrator’s name |
LATVIS FAMILY DENTISTS, LLC |
Plan administrator’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010 |
Administrator’s telephone number |
8605845240 |
Signature of
Role |
Plan administrator |
Date |
2017-08-28 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2016
|
061550715
|
2017-11-08
|
LATVIS FAMILY DENTISTS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Signature of
Role |
Plan administrator |
Date |
2017-11-08 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2015
|
061550715
|
2016-08-18
|
LATVIS FAMILY DENTISTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Plan administrator’s name and address
Administrator’s EIN |
061550715 |
Plan administrator’s name |
LATVIS FAMILY DENTISTS, LLC |
Plan administrator’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010 |
Administrator’s telephone number |
8605845240 |
Signature of
Role |
Plan administrator |
Date |
2016-08-18 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2014
|
061550715
|
2015-10-12
|
LATVIS FAMILY DENTISTS, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Plan administrator’s name and address
Administrator’s EIN |
061550715 |
Plan administrator’s name |
LATVIS FAMILY DENTISTS, LLC |
Plan administrator’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010 |
Administrator’s telephone number |
8605845240 |
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2013
|
061550715
|
2014-10-09
|
LATVIS FAMILY DENTISTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Plan administrator’s name and address
Administrator’s EIN |
061550715 |
Plan administrator’s name |
LATVIS FAMILY DENTISTS, LLC |
Plan administrator’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010 |
Administrator’s telephone number |
8605845240 |
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2012
|
061550715
|
2013-06-07
|
LATVIS FAMILY DENTISTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Plan administrator’s name and address
Administrator’s EIN |
061550715 |
Plan administrator’s name |
LATVIS FAMILY DENTISTS, LLC |
Plan administrator’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010 |
Administrator’s telephone number |
8605845240 |
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2011
|
061550715
|
2012-07-27
|
LATVIS FAMILY DENTISTS, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Plan administrator’s name and address
Administrator’s EIN |
061550715 |
Plan administrator’s name |
LATVIS FAMILY DENTISTS, LLC |
Plan administrator’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010 |
Administrator’s telephone number |
8605845240 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2010
|
061550715
|
2011-07-10
|
LATVIS FAMILY DENTISTS, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Plan administrator’s name and address
Administrator’s EIN |
061550715 |
Plan administrator’s name |
LATVIS FAMILY DENTISTS, LLC |
Plan administrator’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010 |
Administrator’s telephone number |
8605845240 |
Signature of
Role |
Plan administrator |
Date |
2011-07-10 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LATVIS FAMILY DENTISTS, LLC PROFIT SHARING PLAN
|
2009
|
061550715
|
2010-07-15
|
LATVIS FAMILY DENTISTS, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605845240
|
Plan sponsor’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010
|
Plan administrator’s name and address
Administrator’s EIN |
061550715 |
Plan administrator’s name |
LATVIS FAMILY DENTISTS, LLC |
Plan administrator’s
address |
82 WASHINGTON STREET, BRISTOL, CT, 06010 |
Administrator’s telephone number |
8605845240 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
CHRISTOPHER LATVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|