HEIM & CARROLL DMD LLC PROFIT SHARING PLAN
|
2014
|
542133837
|
2015-07-03
|
HEIM & CARROLL DMD LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606332031
|
Plan sponsor’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033
|
Signature of
Role |
Plan administrator |
Date |
2015-07-03 |
Name of individual signing |
BRAD A HEIM DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-03 |
Name of individual signing |
BRAD A HEIM DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEIM & CARROLL DMD LLC PROFIT SHARING PLAN
|
2013
|
542133837
|
2014-07-08
|
HEIM & CARROLL DMD LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606332031
|
Plan sponsor’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033
|
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
HEIM AND CARROLL DMD LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-08 |
Name of individual signing |
HEIM AND CARROLL DMD LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEIM & CARROLL DMD LLC PROFIT SHARING PLAN
|
2012
|
542133837
|
2013-07-09
|
HEIM & CARROLL DMD LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606332031
|
Plan sponsor’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033
|
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
BRAD A HEIM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-09 |
Name of individual signing |
BRAD A HEIM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEIM & CARROLL DMD LLC PROFIT SHARING PLAN
|
2011
|
542133837
|
2012-07-20
|
HEIM & CARROLL DMD LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606332031
|
Plan sponsor’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033
|
Plan administrator’s name and address
Administrator’s EIN |
542133837 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033 |
Administrator’s telephone number |
8606332031 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
BRAD A. HEIM DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-20 |
Name of individual signing |
BRAD A. HEIM DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEIM & CARROLL DMD LLC PROFIT SHARING PLAN
|
2010
|
542133837
|
2011-07-26
|
HEIM & CARROLL DMD LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606332031
|
Plan sponsor’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033
|
Plan administrator’s name and address
Administrator’s EIN |
542133837 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033 |
Administrator’s telephone number |
8606332031 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
BRAD A HEIM DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-26 |
Name of individual signing |
BRAD A HEIM DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEIM & CARROLL DMD LLC PROFIT SHARING PLAN
|
2009
|
542133837
|
2010-07-27
|
HEIM & CARROLL DMD LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606332031
|
Plan sponsor’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033
|
Plan administrator’s name and address
Administrator’s EIN |
542133837 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
36 WELLES STREET SUITE 240, PO BOX 5, GLASTONBURY, CT, 06033 |
Administrator’s telephone number |
8606332031 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
BRAD A HEIM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
BRAD A HEIM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|