ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC 401(K) PLAN AND TRUST
|
2016
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141994869
|
2017-07-24
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ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603469259
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2017-07-24 |
Name of individual signing |
DAENYA T. EDWARDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC 401(K) PLAN AND TRUST
|
2015
|
141994869
|
2016-06-30
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603469259
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
DAENYA T. EDWARDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC 401(K) PLAN AND TRUST
|
2014
|
141994869
|
2015-10-07
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603469259
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
DAENYA T. EDWARDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC 401(K) PLAN AND TRUST
|
2013
|
141994869
|
2014-07-29
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603469259
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
DAENYA T. EDWARDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC 401(K) PLAN AND TRUST
|
2012
|
141994869
|
2013-06-28
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603469259
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
PAUL BALDYGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC 401(K) PLAN AND TRUST
|
2011
|
141994869
|
2012-06-20
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603469259
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Plan administrator’s name and address
Administrator’s EIN |
141994869 |
Plan administrator’s name |
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC |
Plan administrator’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457 |
Administrator’s telephone number |
8603469259 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
PAUL BALDYGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC 401(K) PLAN AND TRUST
|
2010
|
141994869
|
2011-06-17
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603469259
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Plan administrator’s name and address
Administrator’s EIN |
141994869 |
Plan administrator’s name |
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC |
Plan administrator’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457 |
Administrator’s telephone number |
8603469259 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
PAUL BALDYGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC 401(K) PLAN AND TRUST
|
2009
|
141994869
|
2010-08-30
|
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603469259
|
Plan sponsor’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
|
Plan administrator’s name and address
Administrator’s EIN |
141994869 |
Plan administrator’s name |
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT, LLC |
Plan administrator’s
address |
535 SAYBROOK ROAD, MIDDLETOWN, CT, 06457 |
Administrator’s telephone number |
8603469259 |
Signature of
Role |
Plan administrator |
Date |
2010-08-30 |
Name of individual signing |
PAUL BALDYGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|