|
DENTAL ARTS OF COLCHESTER, LLC 401(K) PLAN
|
2010
|
201770052
|
2011-12-16
|
DENTAL ARTS OF COLCHESTER, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605373521
|
| Plan sponsor’s
address |
188 NORWICH AVENUE, COLCHESTER, CT, 06415
|
Plan administrator’s name and address
| Administrator’s EIN |
201770052 |
| Plan administrator’s name |
DENTAL ARTS OF COLCHESTER, LLC |
| Plan administrator’s
address |
188 NORWICH AVENUE, COLCHESTER, CT, 06415 |
| Administrator’s telephone number |
8605373521 |
Signature of
| Role |
Plan administrator |
| Date |
2011-12-16 |
| Name of individual signing |
JAMIE ROACH-DECKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENTAL ARTS OF COLCHESTER, LLC 401K PLAN
|
2010
|
201770052
|
2011-05-23
|
DENTAL ARTS OF COLCHESTER, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605373521
|
| Plan sponsor’s
address |
188 NORWICH AVENUE, COLCHESTER, CT, 06415
|
Plan administrator’s name and address
| Administrator’s EIN |
201770052 |
| Plan administrator’s name |
DENTAL ARTS OF COLCHESTER, LLC |
| Plan administrator’s
address |
188 NORWICH AVENUE, COLCHESTER, CT, 06415 |
| Administrator’s telephone number |
8605373521 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-23 |
| Name of individual signing |
JAMIE ROACH-DECKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENTAL ARTS OF COLCHESTER, LLC 401K PLAN
|
2010
|
201770052
|
2011-05-20
|
DENTAL ARTS OF COLCHESTER, LLC
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605373521
|
| Plan sponsor’s
address |
188 NORWICH AVENUE, COLCHESTER, CT, 06415
|
Plan administrator’s name and address
| Administrator’s EIN |
201770052 |
| Plan administrator’s name |
DENTAL ARTS OF COLCHESTER, LLC |
| Plan administrator’s
address |
188 NORWICH AVENUE, COLCHESTER, CT, 06415 |
| Administrator’s telephone number |
8605373521 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-20 |
| Name of individual signing |
JAMIE ROACH-DECKER |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
DENTAL ARTS OF COLCHESTER, LLC 401K PLAN
|
2009
|
201770052
|
2010-07-22
|
DENTAL ARTS OF COLCHESTER, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605373521
|
| Plan sponsor’s
address |
188 NORWICH AVENUE, COLCHESTER, CT, 06415
|
Plan administrator’s name and address
| Administrator’s EIN |
201770052 |
| Plan administrator’s name |
DENTAL ARTS OF COLCHESTER, LLC |
| Plan administrator’s
address |
188 NORWICH AVENUE, COLCHESTER, CT, 06415 |
| Administrator’s telephone number |
8605373521 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-22 |
| Name of individual signing |
JAMIE ROACH-DECKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
