MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
205259836
|
2022-09-24
|
MANSFIELD FAMILY DENTISTRY, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD P.O. BOX 459, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2022-09-24 |
Name of individual signing |
VALERIE J. ALESSANDRO, D.D.S |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
205259836
|
2022-12-12
|
MANSFIELD FAMILY DENTISTRY LLC
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS RD. P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2022-12-11 |
Name of individual signing |
VALERIE J. ALESSANDRO, D.D.S |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
205259836
|
2021-07-29
|
MANSFIELD FAMILY DENTISTRY, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD P.O. BOX 459, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
VALERIE J. ALESSANDRO, D.D.S |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
205259836
|
2020-10-12
|
MANSFIELD FAMILY DENTISTRY, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD P.O. BOX 459, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
VALERIE J. ALESSANDRO, D.D.S |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
205259836
|
2019-10-14
|
MANSFIELD FAMILY DENTISTRY, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
VALERIE J. ALESSANDRO, D.D.S |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
205259836
|
2018-10-11
|
MANSFIELD FAMILY DENTISTRY, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
VALERIE ALESSANDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
205259836
|
2017-07-27
|
MANSFIELD FAMILY DENTISTRY, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2017-07-26 |
Name of individual signing |
VALERIE ALESSANDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
205259836
|
2016-07-26
|
MANSFIELD FAMILY DENTISTRY, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
VALERIE ALESSANDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-25 |
Name of individual signing |
VALERIE ALESSANDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
205259836
|
2015-10-14
|
MANSFIELD FAMILY DENTISTRY, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
VALERIE ALESSANDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
205259836
|
2014-10-13
|
MANSFIELD FAMILY DENTISTRY, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8604561808
|
Plan sponsor’s
address |
6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250
|
Signature of
Role |
Plan administrator |
Date |
2014-10-11 |
Name of individual signing |
VALERIE ALESSANDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|