GRANBY DENTAL CENTER LLC PROFIT SHARING PLAN AND TRUST
|
2023
|
201785704
|
2024-10-06
|
GRANBY DENTAL CENTER LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVENUE, GRANBY, CT, 06035
|
Signature of
Role |
Plan administrator |
Date |
2024-10-06 |
Name of individual signing |
MICHAEL UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER, LLC CASH BALANCE PLAN
|
2023
|
201785704
|
2024-10-06
|
GRANBY DENTAL CENTER LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVENUE, GRANBY, CT, 06035
|
Signature of
Role |
Plan administrator |
Date |
2024-10-06 |
Name of individual signing |
MICHAEL UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER, LLC WELFARE BENEFIT PLAN NATIONAL BENEFIT TRUST I
|
2023
|
201785704
|
2024-10-14
|
GRANBY DENTAL CENTER, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVE, GRANBY, CT, 060352309
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
MICHAEL A. UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER LLC PROFIT SHARING PLAN AND TRUST
|
2022
|
201785704
|
2023-10-12
|
GRANBY DENTAL CENTER LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVENUE, GRANBY, CT, 06035
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
MICHAEL UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER, LLC CASH BALANCE PLAN
|
2022
|
201785704
|
2023-10-13
|
GRANBY DENTAL CENTER LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVENUE, GRANBY, CT, 06035
|
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
MICHAEL UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER, LLC WELFARE BENEFIT PLAN NATIONAL BENEFIT TRUST I
|
2022
|
201785704
|
2023-09-10
|
GRANBY DENTAL CENTER, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVE, GRANBY, CT, 060352309
|
Signature of
Role |
Plan administrator |
Date |
2023-09-10 |
Name of individual signing |
MICHAEL A. UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER LLC PROFIT SHARING PLAN AND TRUST
|
2021
|
201785704
|
2022-10-08
|
GRANBY DENTAL CENTER LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVENUE, GRANBY, CT, 06035
|
Signature of
Role |
Plan administrator |
Date |
2022-10-08 |
Name of individual signing |
MICHAEL UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER, LLC CASH BALANCE PLAN
|
2021
|
201785704
|
2022-10-08
|
GRANBY DENTAL CENTER LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVENUE, GRANBY, CT, 06035
|
Signature of
Role |
Plan administrator |
Date |
2022-10-08 |
Name of individual signing |
MICHAEL UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER, LLC WELFARE BENEFIT PLAN NATIONAL BENEFIT TRUST I
|
2021
|
201785704
|
2022-08-29
|
GRANBY DENTAL CENTER, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVE, GRANBY, CT, 060352309
|
Signature of
Role |
Plan administrator |
Date |
2022-08-29 |
Name of individual signing |
MICHAEL A. UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANBY DENTAL CENTER, LLC WELFARE BENEFIT PLAN NATIONAL BENEFIT TRUST I
|
2020
|
201785704
|
2021-10-09
|
GRANBY DENTAL CENTER, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606533220
|
Plan sponsor’s
address |
41 HARTFORD AVE, GRANBY, CT, 060352309
|
Signature of
Role |
Plan administrator |
Date |
2021-10-09 |
Name of individual signing |
MICHAEL A. UNGERLEIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|