SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
061631122
|
2024-04-18
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPEMEADOW STREET, SUITE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2024-04-19 |
Name of individual signing |
MARYAM AZADPUR, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
061631122
|
2023-06-12
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY,LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2023-06-12 |
Name of individual signing |
MARYAM AZADPUR, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
061631122
|
2022-05-30
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2022-05-30 |
Name of individual signing |
MARYAM AZADPUR, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
061631122
|
2021-06-03
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2021-06-03 |
Name of individual signing |
MARYAM AZADPUR, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
061631122
|
2020-05-17
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2020-05-17 |
Name of individual signing |
MARYAM AZADPUR, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
061631122
|
2019-09-29
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2019-09-29 |
Name of individual signing |
MARYAM AZADPUR, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
061631122
|
2018-06-25
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2018-06-25 |
Name of individual signing |
MARYAM AZADPUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-25 |
Name of individual signing |
MARYAM AZADPUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
061631122
|
2017-05-22
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2017-05-22 |
Name of individual signing |
MARYAM AZADPUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-22 |
Name of individual signing |
MARYAM AZADPUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
061631122
|
2016-07-18
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2016-07-17 |
Name of individual signing |
MARYAM AZADPUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-17 |
Name of individual signing |
MARYAM AZADPUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
061631122
|
2015-08-19
|
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606587548
|
Plan sponsor’s
address |
381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089
|
Signature of
Role |
Plan administrator |
Date |
2015-08-19 |
Name of individual signing |
MARYAM AZADPUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-19 |
Name of individual signing |
MARYAM AZADPUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|