ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
562349043
|
2017-11-14
|
ADVANTAGE DENTAL GROUP LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605352331
|
Plan sponsor’s
address |
339 FLANDERS RD SUITE 105, EAST LYME, CT, 063331729
|
Signature of
Role |
Plan administrator |
Date |
2017-11-14 |
Name of individual signing |
SHELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
562349043
|
2017-06-26
|
ADVANTAGE DENTAL GROUP LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605352331
|
Plan sponsor’s
address |
339 FLANDERS RD SUITE 105, EAST LYME, CT, 063331729
|
Signature of
Role |
Plan administrator |
Date |
2017-06-26 |
Name of individual signing |
SHELLEY MCNEELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
562349043
|
2016-07-11
|
ADVANTAGE DENTAL GROUP LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605352331
|
Plan sponsor’s
address |
339 FLANDERS RD SUITE 105, EAST LYME, CT, 063331729
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
SAJJAD KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
562349043
|
2015-06-09
|
ADVANTAGE DENTAL GROUP LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606910025
|
Plan sponsor’s
address |
339 FLANDERS RD SUITE 105, EAST LYME, CT, 063331729
|
Signature of
Role |
Plan administrator |
Date |
2015-06-09 |
Name of individual signing |
SAJJAD KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
562349043
|
2014-07-25
|
ADVANTAGE DENTAL GROUP LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606910025
|
Plan sponsor’s
address |
339 FLANDERS ROAD,, SUITE#105, EAST LYME, CT, 06333
|
Signature of
Role |
Plan administrator |
Date |
2014-07-25 |
Name of individual signing |
SAJJAD A. KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
562349043
|
2013-12-20
|
ADVANTAGE DENTAL GROUP LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Sponsor’s telephone number |
8605352331
|
Plan sponsor’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 063599992
|
Signature of
Role |
Plan administrator |
Date |
2013-12-20 |
Name of individual signing |
ADVANTAGE DENTAL GROUP LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
562349043
|
2014-02-13
|
ADVANTAGE DENTAL GROUP LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606910025
|
Plan sponsor’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 063599992
|
Plan administrator’s name and address
Administrator’s EIN |
562349043 |
Plan administrator’s name |
ADVANTAGE DENTAL GROUP LLC |
Plan administrator’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 063599992 |
Administrator’s telephone number |
8606910025 |
Signature of
Role |
Plan administrator |
Date |
2014-02-13 |
Name of individual signing |
ADVANTAGE DENTAL GROUP LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
562349043
|
2014-02-13
|
ADVANTAGE DENTAL GROUP LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605352331
|
Plan sponsor’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 06359
|
Plan administrator’s name and address
Administrator’s EIN |
562349043 |
Plan administrator’s name |
ADVANTAGE DENTAL GROUP LLC |
Plan administrator’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 06359 |
Administrator’s telephone number |
8605352331 |
Signature of
Role |
Plan administrator |
Date |
2014-02-13 |
Name of individual signing |
ADVANTAGE DENTAL GROUP LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
562349043
|
2011-08-01
|
ADVANTAGE DENTAL GROUP LLC
|
23
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605352331
|
Plan sponsor’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 06359
|
Plan administrator’s name and address
Administrator’s EIN |
562349043 |
Plan administrator’s name |
ADVANTAGE DENTAL GROUP LLC |
Plan administrator’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 06359 |
Administrator’s telephone number |
8605352331 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
SAJJAD KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGE DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
562349043
|
2011-07-29
|
ADVANTAGE DENTAL GROUP LLC
|
23
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8605352331
|
Plan sponsor’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 06359
|
Plan administrator’s name and address
Administrator’s EIN |
562349043 |
Plan administrator’s name |
ADVANTAGE DENTAL GROUP LLC |
Plan administrator’s
address |
391 NORWICH WESTERLY RD, NORTH STONINGTON, CT, 06359 |
Administrator’s telephone number |
8605352331 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
ADVANTAGE DENTAL GROUP LLC |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|