|
GOODWIN FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
202996113
|
2020-07-21
|
GOODWIN FAMILY DENTISTRY LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-03-03
|
| Business code |
621210
|
| Sponsor’s telephone number |
8603764483
|
| Plan sponsor’s
address |
25A EAST MAIN STREET, JEWETT CITY, CT, 063512108
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-21 |
| Name of individual signing |
STEVEN GOODWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GOODWIN FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
202996113
|
2019-07-03
|
GOODWIN FAMILY DENTISTRY LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-03-03
|
| Business code |
621210
|
| Sponsor’s telephone number |
8603764483
|
| Plan sponsor’s
address |
25A EAST MAIN STREET, JEWETT CITY, CT, 063512108
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-03 |
| Name of individual signing |
STEVEN GOODWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GOODWIN FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
202996113
|
2018-08-27
|
GOODWIN FAMILY DENTISTRY LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-03-03
|
| Business code |
621210
|
| Sponsor’s telephone number |
8603764483
|
| Plan sponsor’s
address |
25A EAST MAIN STREET, JEWETT CITY, CT, 063512108
|
Signature of
| Role |
Plan administrator |
| Date |
2018-08-27 |
| Name of individual signing |
STEVEN GOODWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GOODWIN FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
202996113
|
2017-07-17
|
GOODWIN FAMILY DENTISTRY LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-03-03
|
| Business code |
621210
|
| Sponsor’s telephone number |
8603764483
|
| Plan sponsor’s
address |
25A EAST MAIN STREET, JEWETT CITY, CT, 063512108
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-17 |
| Name of individual signing |
STEVEN GOODWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GOODWIN FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
202996113
|
2016-10-10
|
GOODWIN FAMILY DENTISTRY LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-03-03
|
| Business code |
621210
|
| Sponsor’s telephone number |
8603764483
|
| Plan sponsor’s
address |
25A EAST MAIN STREET, JEWETT CITY, CT, 063512108
|
Signature of
| Role |
Plan administrator |
| Date |
2016-10-10 |
| Name of individual signing |
STEVEN GOODWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GOODWIN FAMILY DENTISTRY LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
202996113
|
2011-06-21
|
GOODWIN FAMILY DENTISTRY LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-03-03
|
| Business code |
621210
|
| Sponsor’s telephone number |
8603764483
|
| Plan sponsor’s
address |
25A EAST MAIN STREET, JEWETT CITY, CT, 06351
|
Plan administrator’s name and address
| Administrator’s EIN |
202996113 |
| Plan administrator’s name |
GOODWIN FAMILY DENTISTRY LLC |
| Plan administrator’s
address |
25A EAST MAIN STREET, JEWETT CITY, CT, 06351 |
| Administrator’s telephone number |
8603764483 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-21 |
| Name of individual signing |
GOODWIN FAMILY DENTISTRY LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
