|
ELM FAMILY DENTAL ASSOCIATES LLC 401K PLAN
|
2023
|
571197328
|
2024-07-13
|
ELM FAMILY DENTAL ASSOCIATES LLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2039332223
|
| Plan sponsor’s
address |
233 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-13 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELM FAMILY DENTAL ASSOCIATES LLC 401K PLAN
|
2022
|
571197328
|
2023-08-21
|
ELM FAMILY DENTAL ASSOCIATES LLC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2039332223
|
| Plan sponsor’s
address |
233 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2023-08-21 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELM FAMILY DENTAL ASSOCIATES LLC 401K PLAN
|
2021
|
571197328
|
2022-10-13
|
ELM FAMILY DENTAL ASSOCIATES LLC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2039332223
|
| Plan sponsor’s
address |
233 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-13 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELM FAMILY DENTAL ASSOCIATES LLC 401K PLAN
|
2020
|
571197328
|
2021-07-25
|
ELM FAMILY DENTAL ASSOCIATES LLC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2039332223
|
| Plan sponsor’s
address |
233 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-25 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-25 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELM FAMILY DENTAL ASSOCIATES LLC 401K PLAN
|
2019
|
571197328
|
2020-07-10
|
ELM FAMILY DENTAL ASSOCIATES LLC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2039332223
|
| Plan sponsor’s
address |
233 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-10 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELM FAMILY DENTAL ASSOCIATES LLC 401K PLAN
|
2018
|
571197328
|
2019-06-26
|
ELM FAMILY DENTAL ASSOCIATES LLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2039332223
|
| Plan sponsor’s
address |
233 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-26 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELM FAMILY DENTAL ASSOCIATES LLC 401K PLAN
|
2017
|
571197328
|
2018-06-15
|
ELM FAMILY DENTAL ASSOCIATES LLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2039332223
|
| Plan sponsor’s
address |
233 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-15 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELM FAMILY DENTAL ASSOCIATES LLC 401K PLAN
|
2016
|
571197328
|
2017-07-13
|
ELM FAMILY DENTAL ASSOCIATES LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2039332223
|
| Plan sponsor’s
address |
233 ELM STREET, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-13 |
| Name of individual signing |
MICHAEL NORMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
