|
FANTARELLA DENTAL GROUP, PLLC 401K PLAN
|
2023
|
562592638
|
2024-05-24
|
FANTARELLA DENTAL GROUP, PLLC
|
57
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
2032391155
|
| Plan sponsor’s
address |
127 WASHINGTON AVE 2ND FLOOR, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-24 |
| Name of individual signing |
JACKIE QUESNEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FANTARELLA DENTAL GROUP, PLLC 401K PLAN
|
2022
|
562592638
|
2023-06-05
|
FANTARELLA DENTAL GROUP, PLLC
|
49
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
2032391155
|
| Plan sponsor’s
address |
127 WASHINGTON AVE 2ND FLOOR, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-05 |
| Name of individual signing |
JACKIE QUESNEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FANTARELLA DENTAL GROUP, PLLC 401K PLAN
|
2021
|
562592638
|
2022-08-23
|
FANTARELLA DENTAL GROUP, PLLC
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
2032391155
|
| Plan sponsor’s
address |
127 WASHINGTON AVE 2ND FLOOR, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-23 |
| Name of individual signing |
JACKIE QUESNEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FANTARELLA DENTAL GROUP, PLLC 401K PLAN
|
2020
|
562592638
|
2021-06-07
|
FANTARELLA DENTAL GROUP, PLLC
|
36
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
2032391155
|
| Plan sponsor’s
address |
127 WASHINGTON AVE 2ND FLOOR, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-07 |
| Name of individual signing |
JACKIE QUESNEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FANTARELLA DENTAL GROUP, PLLC 401K PLAN
|
2019
|
562592638
|
2020-06-17
|
FANTARELLA DENTAL GROUP, PLLC
|
34
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
2032391155
|
| Plan sponsor’s
address |
127 WASHINGTON AVE 2ND FLOOR, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-17 |
| Name of individual signing |
JQUESNEL6181 |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FANTARELLA DENTAL GROUP, PLLC 401K PLAN
|
2019
|
562592638
|
2020-06-30
|
FANTARELLA DENTAL GROUP, PLLC
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
2032391155
|
| Plan sponsor’s
address |
127 WASHINGTON AVE 2ND FLOOR, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-30 |
| Name of individual signing |
JACKIE QUESNEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
