LONG WHARF DENTAL GROUP, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
061557173
|
2016-06-30
|
LONG WHARF DENTAL GROUP, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037814288
|
Plan sponsor’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
BARRY ROTHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-30 |
Name of individual signing |
BARRY ROTHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF DENTAL GROUP, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
061557173
|
2015-06-01
|
LONG WHARF DENTAL GROUP, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037814288
|
Plan sponsor’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2015-05-29 |
Name of individual signing |
BARRY ROTHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF DENTAL GROUP, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
061557173
|
2014-06-30
|
LONG WHARF DENTAL GROUP, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037814288
|
Plan sponsor’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2014-06-24 |
Name of individual signing |
BARRY ROTHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF DENTAL GROUP, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
061557173
|
2013-07-25
|
LONG WHARF DENTAL GROUP, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037814288
|
Plan sponsor’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
BARRY ROTHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF DENTAL GROUP, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
061557173
|
2012-07-30
|
LONG WHARF DENTAL GROUP, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037814288
|
Plan sponsor’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061557173 |
Plan administrator’s name |
LONG WHARF DENTAL GROUP, LLC |
Plan administrator’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037814288 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
BARRY ROTHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF DENTAL GROUP, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
061557173
|
2011-06-28
|
LONG WHARF DENTAL GROUP, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037814288
|
Plan sponsor’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061557173 |
Plan administrator’s name |
LONG WHARF DENTAL GROUP, LLC |
Plan administrator’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037814288 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
BARRY ROTHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF DENTAL GROUP, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
061557173
|
2010-07-19
|
LONG WHARF DENTAL GROUP, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037814288
|
Plan sponsor’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061557173 |
Plan administrator’s name |
LONG WHARF DENTAL GROUP, LLC |
Plan administrator’s
address |
1 LONG WHARF DRIVE, SUITE 221, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037814288 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
BARRY ROTHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|