PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN
|
2012
|
202033880
|
2013-06-04
|
PERIMENIS FAMILY DENTAL PRACTICE, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2033481555
|
Plan sponsor’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
PETER P. PERIMENIS D. D. S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-04 |
Name of individual signing |
PETER P. PERIMENIS D. D. S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN
|
2011
|
202033880
|
2012-05-24
|
PERIMENIS FAMILY DENTAL PRACTICE, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2033481555
|
Plan sponsor’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902
|
Plan administrator’s name and address
Administrator’s EIN |
202033880 |
Plan administrator’s name |
PERIMENIS FAMILY DENTAL PRACTICE, INC. |
Plan administrator’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902 |
Administrator’s telephone number |
2033481555 |
Signature of
Role |
Plan administrator |
Date |
2012-05-24 |
Name of individual signing |
PETER P. PERIMENIS D. D. S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-24 |
Name of individual signing |
PETER P. PERIMENIS D. D. S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN
|
2011
|
202033880
|
2012-05-24
|
PERIMENIS FAMILY DENTAL PRACTICE, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2033481555
|
Plan sponsor’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902
|
Plan administrator’s name and address
Administrator’s EIN |
202033880 |
Plan administrator’s name |
PERIMENIS FAMILY DENTAL PRACTICE, INC. |
Plan administrator’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902 |
Administrator’s telephone number |
2033481555 |
Signature of
Role |
Plan administrator |
Date |
2012-05-24 |
Name of individual signing |
PETER P. PERIMENIS D. D. S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-24 |
Name of individual signing |
PETER P. PERIMENIS D. D. S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN
|
2010
|
202033880
|
2011-09-12
|
PERIMENIS FAMILY DENTAL PRACTICE, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2033481555
|
Plan sponsor’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902
|
Plan administrator’s name and address
Administrator’s EIN |
202033880 |
Plan administrator’s name |
PERIMENIS FAMILY DENTAL PRACTICE, INC. |
Plan administrator’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902 |
Administrator’s telephone number |
2033481555 |
Signature of
Role |
Plan administrator |
Date |
2011-09-12 |
Name of individual signing |
PETER P. PERIMENIS D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN
|
2009
|
202033880
|
2010-07-13
|
PERIMENIS FAMILY DENTAL PRACTICE, INC.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2033481555
|
Plan sponsor’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902
|
Plan administrator’s name and address
Administrator’s EIN |
202033880 |
Plan administrator’s name |
PERIMENIS FAMILY DENTAL PRACTICE, INC. |
Plan administrator’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902 |
Administrator’s telephone number |
2033481555 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
PETER P. PERIMENIS D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN
|
2009
|
202033880
|
2010-07-19
|
PERIMENIS FAMILY DENTAL PRACTICE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2033481555
|
Plan sponsor’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902
|
Plan administrator’s name and address
Administrator’s EIN |
202033880 |
Plan administrator’s name |
PERIMENIS FAMILY DENTAL PRACTICE, INC. |
Plan administrator’s
address |
77 GLENBROOK ROAD, STAMFORD, CT, 06902 |
Administrator’s telephone number |
2033481555 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
PETER P. PERIMENIS D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|