FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
061585997
|
2024-09-19
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2024-09-19 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
061585997
|
2023-06-22
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2023-06-22 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
061585997
|
2023-06-22
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2023-06-22 |
Name of individual signing |
JESUS A VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-22 |
Name of individual signing |
JESUS A VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
061585997
|
2021-10-13
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
30
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
061585997
|
2023-05-24
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
061585997
|
2020-10-16
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2020-10-16 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
061585997
|
2019-10-11
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
061585997
|
2018-10-15
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
061585997
|
2017-10-13
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
061585997
|
2016-10-10
|
FAIRFIELD PEDIATRIC DENTISTRY, LLC
|
21
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2039330008
|
Plan sponsor’s
address |
100 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
Role |
Plan administrator |
Date |
2016-10-10 |
Name of individual signing |
JESUS VILLEGAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|