APOLLONIA DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
542144228
|
2020-08-21
|
APOLLONIA DENTAL, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2020-08-21 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
542144228
|
2019-09-09
|
APOLLONIA DENTAL, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2019-09-09 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
542144228
|
2018-10-12
|
APOLLONIA DENTAL, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
542144228
|
2017-08-21
|
APOLLONIA DENTAL, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2017-08-21 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PLAN
|
2015
|
542144228
|
2016-06-02
|
APOLLONIA DENTAL, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2016-06-01 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-01 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PLAN
|
2014
|
542144228
|
2015-06-16
|
APOLLONIA DENTAL, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2015-06-15 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-15 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PLAN
|
2013
|
542144228
|
2014-06-17
|
APOLLONIA DENTAL, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2014-06-10 |
Name of individual signing |
ADITYA V SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-10 |
Name of individual signing |
ADITYA V SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PLAN
|
2012
|
542144228
|
2013-06-04
|
APOLLONIA DENTAL, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-03 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PLAN
|
2011
|
542144228
|
2012-06-11
|
APOLLONIA DENTAL, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457
|
Plan administrator’s name and address
Administrator’s EIN |
542144228 |
Plan administrator’s name |
APOLLONIA DENTAL, LLC |
Plan administrator’s
address |
200 MAIN STREET EXTENSION, MIDDLETOWN, CT, 06457 |
Administrator’s telephone number |
8607048000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-11 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-11 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APOLLONIA DENTAL, LLC 401(K) PLAN
|
2010
|
542144228
|
2011-06-22
|
APOLLONIA DENTAL, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8607048000
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Plan administrator’s name and address
Administrator’s EIN |
542144228 |
Plan administrator’s name |
APOLLONIA DENTAL, LLC |
Plan administrator’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457 |
Administrator’s telephone number |
8607048000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-21 |
Name of individual signing |
ADITYA SINGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|