|
NEW CANAAN PERIODONTOLOGY, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
061583942
|
2012-10-13
|
NEW CANAAN PERIODONTOLOGY, PC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2039661210
|
| Plan sponsor’s
address |
17 1/2 ELM STREET, NEW CANAAN, CT, 06840
|
Plan administrator’s name and address
| Administrator’s EIN |
061583942 |
| Plan administrator’s name |
NEW CANAAN PERIODONTOLOGY, PC |
| Plan administrator’s
address |
17 1/2 ELM STREET, NEW CANAAN, CT, 06840 |
| Administrator’s telephone number |
2039661210 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-13 |
| Name of individual signing |
KENNETH COLABELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEW CANAAN PERIODONTOLOGY, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
061583942
|
2011-10-30
|
NEW CANAAN PERIODONTOLOGY, PC
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2039661210
|
| Plan sponsor’s
address |
17 1/2 ELM STREET, NEW CANAAN, CT, 06840
|
Plan administrator’s name and address
| Administrator’s EIN |
061583942 |
| Plan administrator’s name |
NEW CANAAN PERIODONTOLOGY, PC |
| Plan administrator’s
address |
17 1/2 ELM STREET, NEW CANAAN, CT, 06840 |
| Administrator’s telephone number |
2039661210 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2011-10-30 |
| Name of individual signing |
KENNETH COLABELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEW CANAAN PERIODONTOLOGY, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
061583942
|
2011-10-30
|
NEW CANAAN PERIODONTOLOGY, PC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2039661210
|
| Plan sponsor’s
address |
17 1/2 ELM STREET, NEW CANAAN, CT, 06840
|
Plan administrator’s name and address
| Administrator’s EIN |
061583942 |
| Plan administrator’s name |
NEW CANAAN PERIODONTOLOGY, PC |
| Plan administrator’s
address |
17 1/2 ELM STREET, NEW CANAAN, CT, 06840 |
| Administrator’s telephone number |
2039661210 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-30 |
| Name of individual signing |
KENNETH COLABELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEW CANAAN PERIODONTOLOGY, P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
061583942
|
2010-10-08
|
NEW CANAAN PERIODONTOLOGY, PC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2039661210
|
| Plan sponsor’s
address |
17 1/2 ELM STREET, NEW CANAAN, CT, 06840
|
Plan administrator’s name and address
| Administrator’s EIN |
061583942 |
| Plan administrator’s name |
NEW CANAAN PERIODONTOLOGY, PC |
| Plan administrator’s
address |
17 1/2 ELM STREET, NEW CANAAN, CT, 06840 |
| Administrator’s telephone number |
2039661210 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-08 |
| Name of individual signing |
KENNETH COLABELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
