PROSPECT FAMILY DENTAL LLC 401K PLAN
|
2018
|
030474316
|
2019-01-25
|
PROSPECT FAMILY DENTAL LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037552744
|
Plan sponsor’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685
|
Signature of
Role |
Plan administrator |
Date |
2019-01-25 |
Name of individual signing |
VINCENT D'AGOSTINO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROSPECT FAMILY DENTAL LLC 401K PLAN
|
2017
|
030474316
|
2018-02-16
|
PROSPECT FAMILY DENTAL LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037552744
|
Plan sponsor’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685
|
Signature of
Role |
Plan administrator |
Date |
2018-02-16 |
Name of individual signing |
VINCENT D'AGOSTINO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROSPECT FAMILY DENTAL LLC 401K PLAN
|
2016
|
030474316
|
2017-02-25
|
PROSPECT FAMILY DENTAL LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037552744
|
Plan sponsor’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685
|
Signature of
Role |
Plan administrator |
Date |
2017-02-25 |
Name of individual signing |
VINCENT D'AGOSTINO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROSPECT FAMILY DENTAL LLC 401K PLAN
|
2015
|
030474316
|
2016-06-24
|
PROSPECT FAMILY DENTAL LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037552744
|
Plan sponsor’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685
|
Signature of
Role |
Plan administrator |
Date |
2016-06-24 |
Name of individual signing |
VINCENT D'AGOSTINO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROSPECT FAMILY DENTAL LLC 401K PLAN
|
2014
|
030474316
|
2015-01-27
|
PROSPECT FAMILY DENTAL LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037552744
|
Plan sponsor’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685
|
Signature of
Role |
Plan administrator |
Date |
2015-01-27 |
Name of individual signing |
VINCENT D'AGOSTINO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROSPECT FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
030474316
|
2011-07-18
|
PROSPECT FAMILY DENTAL LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037552744
|
Plan sponsor’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685
|
Plan administrator’s name and address
Administrator’s EIN |
030474316 |
Plan administrator’s name |
PROSPECT FAMILY DENTAL LLC |
Plan administrator’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685 |
Administrator’s telephone number |
2037552744 |
Signature of
Role |
Plan administrator |
Date |
2011-07-18 |
Name of individual signing |
PROSPECT FAMILY DENTAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROSPECT FAMILY DENTAL LLC
|
2009
|
030474316
|
2010-07-22
|
PROSPECT FAMILY DENTAL LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037552744
|
Plan sponsor’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685
|
Plan administrator’s name and address
Administrator’s EIN |
030474316 |
Plan administrator’s name |
PROSPECT FAMILY DENTAL LLC |
Plan administrator’s
address |
2457 EAST MAIN STREET, WATERBURY, CT, 067052685 |
Administrator’s telephone number |
2037552744 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
PROSPECT FAMILY DENTAL LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|