RICHARD J FAIRBROTHER DMD LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
421726488
|
2021-06-01
|
RICHARD J FAIRBROTHER DMD LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322203
|
Plan sponsor’s
address |
25 VISGROVE LANE, WEST HARTFORD, CT, 061172333
|
Signature of
Role |
Plan administrator |
Date |
2021-06-01 |
Name of individual signing |
VIRGINIA FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
421726488
|
2021-06-01
|
RICHARD J FAIRBROTHER DMD LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322203
|
Plan sponsor’s
address |
25 VISGROVE LANE, WEST HARTFORD, CT, 061172333
|
Signature of
Role |
Plan administrator |
Date |
2021-06-01 |
Name of individual signing |
VIRGINIA FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
421726488
|
2021-06-01
|
RICHARD J FAIRBROTHER DMD LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322203
|
Plan sponsor’s
address |
25 VISGROVE LANE, WEST HARTFORD, CT, 061172333
|
Signature of
Role |
Plan administrator |
Date |
2021-06-01 |
Name of individual signing |
VIRGINIA FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
421726488
|
2020-07-31
|
RICHARD J FAIRBROTHER DMD LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322203
|
Plan
sponsor’s DBA name |
RICHARD J FAIRBROTHER DMD LLC
|
Plan sponsor’s
address |
69 S MAIN ST, WEST HARTFORD, CT, 061072410
|
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
VIRGINIA FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
421726488
|
2019-05-19
|
RICHARD J FAIRBROTHER DMD LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322000
|
Plan sponsor’s
address |
69 S MAIN ST, WEST HARTFORD, CT, 061072410
|
Signature of
Role |
Plan administrator |
Date |
2019-05-19 |
Name of individual signing |
RICHARD FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
421726488
|
2018-07-15
|
RICHARD J FAIRBROTHER DMD LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322000
|
Plan sponsor’s
address |
69 S MAIN ST, WEST HARTFORD, CT, 061072410
|
Signature of
Role |
Plan administrator |
Date |
2018-07-15 |
Name of individual signing |
RICHARD J FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
421726488
|
2017-07-30
|
RICHARD J FAIRBROTHER DMD LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322000
|
Plan sponsor’s
address |
69 S MAIN ST, WEST HARTFORD, CT, 061072410
|
Signature of
Role |
Plan administrator |
Date |
2017-07-30 |
Name of individual signing |
RICHARD J. FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
421726488
|
2016-07-31
|
RICHARD J FAIRBROTHER DMD LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322000
|
Plan sponsor’s
address |
69 S MAIN ST, WEST HARTFORD, CT, 061072410
|
Signature of
Role |
Plan administrator |
Date |
2016-07-31 |
Name of individual signing |
RICHARD FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
421726488
|
2015-07-19
|
RICHARD J FAIRBROTHER DMD LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322000
|
Plan sponsor’s
address |
69 S MAIN ST, WEST HARTFORD, CT, 061072410
|
Signature of
Role |
Plan administrator |
Date |
2015-07-19 |
Name of individual signing |
RICHARD J FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J FAIRBROTHER DMD LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
421726488
|
2014-07-31
|
RICHARD J FAIRBROTHER DMD LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8602322000
|
Plan sponsor’s
address |
69 S MAIN ST, WEST HARTFORD, CT, 061072410
|
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
RICHARD FAIRBROTHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|