|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2023
|
760793430
|
2024-09-11
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-11 |
| Name of individual signing |
KULLEN GALLAGHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2022
|
760793430
|
2023-06-23
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-23 |
| Name of individual signing |
KULLEN GALLAGHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2021
|
760793430
|
2022-10-01
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-01 |
| Name of individual signing |
KULLEN GALLAGHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2020
|
760793430
|
2021-06-03
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-03 |
| Name of individual signing |
KULLEN GALLAGHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2019
|
760793430
|
2020-08-27
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
Signature of
| Role |
Plan administrator |
| Date |
2020-08-27 |
| Name of individual signing |
KULLEN GALLAGHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2018
|
760793430
|
2019-07-08
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
|
|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2017
|
760793430
|
2018-04-03
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
Signature of
| Role |
Plan administrator |
| Date |
2018-04-03 |
| Name of individual signing |
KULLEN GALLAGHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2016
|
760793430
|
2017-04-26
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
Signature of
| Role |
Plan administrator |
| Date |
2017-04-26 |
| Name of individual signing |
KULLEN GALLAGHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARLBOROUGH FAMILY DENTAL, P.C. 401(K) RETIREMENT PLAN
|
2015
|
760793430
|
2016-08-10
|
MARLBOROUGH FAMILY DENTAL, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8602958132
|
| Plan sponsor’s
address |
14 JONES HOLLOW ROAD - SUITE 15, MARLBOROUGH, CT, 06447
|
Signature of
| Role |
Plan administrator |
| Date |
2016-08-10 |
| Name of individual signing |
KULLEN GALLAGHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
