DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2023
|
201025225
|
2024-07-16
|
DAWN M. MIKAITIS, DMD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2022
|
201025225
|
2023-05-01
|
DAWN M. MIKAITIS, DMD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2023-05-01 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2021
|
201025225
|
2022-06-16
|
DAWN M. MIKAITIS, DMD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2022-06-16 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2020
|
201025225
|
2021-07-07
|
DAWN M. MIKAITIS, DMD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2021-07-07 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2019
|
201025225
|
2020-05-20
|
DAWN M. MIKAITIS, DMD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2020-05-20 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2018
|
201025225
|
2019-06-11
|
DAWN M. MIKAITIS, DMD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2019-06-11 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2017
|
201025225
|
2018-06-18
|
DAWN M. MIKAITIS, DMD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2016
|
201025225
|
2017-06-29
|
DAWN M. MIKAITIS, DMD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2017-06-29 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2015
|
201025225
|
2016-08-18
|
DAWN M. MIKAITIS, DMD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2016-08-18 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWN M. MIKAITIS, DMD PROFIT SHARING PLAN
|
2014
|
201025225
|
2015-03-23
|
DAWN M MIKAITIS, DMD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037299248
|
Plan sponsor’s
address |
207 MEADOW STREET, NAUGATUCK, CT, 06770
|
Signature of
Role |
Plan administrator |
Date |
2015-03-23 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-23 |
Name of individual signing |
DAWN MIKAITIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|