|
FAIRFIELD ORAL SURGERY, LLC CASH BALANCE PLAN
|
2023
|
202835755
|
2024-09-17
|
FAIRFIELD ORAL SURGERY, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-17 |
| Name of individual signing |
TODD BLOOM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD ORAL SURGERY, LLC CASH BALANCE PLAN
|
2022
|
202835755
|
2023-04-19
|
FAIRFIELD ORAL SURGERY, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-19 |
| Name of individual signing |
TODD BLOOM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD ORAL SURGERY, LLC 401(K) PLAN
|
2022
|
202835755
|
2023-04-19
|
FAIRFIELD ORAL SURGERY, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-19 |
| Name of individual signing |
TODD BLOOM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD ORAL SURGERY, LLC 401(K) PLAN
|
2021
|
202835755
|
2022-06-28
|
FAIRFIELD ORAL SURGERY, LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-28 |
| Name of individual signing |
TODD E BLOOM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD ORAL SURGERY, LLC CASH BALANCE PLAN
|
2021
|
202835755
|
2022-06-28
|
FAIRFIELD ORAL SURGERY, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-28 |
| Name of individual signing |
TODD E BLOOM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD ORAL SURGERY, LLC 401(K) PLAN
|
2020
|
202835755
|
2021-09-16
|
FAIRFIELD ORAL SURGERY, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
|
|
FAIRFIELD ORAL SURGERY, LLC CASH BALANCE PLAN
|
2020
|
202835755
|
2021-09-16
|
FAIRFIELD ORAL SURGERY, 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 |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
|
|
FAIRFIELD ORAL SURGERY, LLC CASH BALANCE PLAN
|
2019
|
202835755
|
2020-10-09
|
FAIRFIELD ORAL SURGERY, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
|
|
FAIRFIELD ORAL SURGERY, LLC 401(K) PLAN
|
2019
|
202835755
|
2020-10-09
|
FAIRFIELD ORAL SURGERY, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
|
|
FAIRFIELD ORAL SURGERY, LLC 401(K) PLAN
|
2018
|
202835755
|
2019-09-24
|
FAIRFIELD ORAL SURGERY, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032592227
|
| Plan sponsor’s
address |
760 KINGS HIGHWAY WEST, BUILDING B, SOUTHPORT, CT, 06890
|
|
