ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
260413358
|
2020-05-11
|
ROBERT A. KIEL, D.M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2020-05-11 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
260413358
|
2020-05-14
|
ROBERT A. KIEL, D.M.D., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2020-05-14 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
260413358
|
2019-05-23
|
ROBERT A. KIEL, D.M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2019-05-23 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
260413358
|
2018-03-22
|
ROBERT A. KIEL, D.M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2018-03-21 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-21 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
260413358
|
2017-04-21
|
ROBERT A. KIEL, D.M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2017-04-21 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-21 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
260413358
|
2016-04-28
|
ROBERT A. KIEL, D.M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2016-04-28 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-28 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
260413358
|
2015-04-28
|
ROBERT A. KIEL, D.M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2015-04-28 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-28 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
260413358
|
2014-02-28
|
ROBERT A. KIEL, D.M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2014-02-28 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-28 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
260413358
|
2013-04-22
|
ROBERT A. KIEL, D.M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2013-04-18 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-18 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT A. KIEL, D.M.D., LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
260413358
|
2012-06-20
|
ROBERT A. KIEL, D.M.D., LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8608711311
|
Plan sponsor’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066
|
Plan administrator’s name and address
Administrator’s EIN |
260413358 |
Plan administrator’s name |
ROBERT A. KIEL, D.M.D., LLC |
Plan administrator’s
address |
281 HARTFORD TURNPIKE, VERNON, CT, 06066 |
Administrator’s telephone number |
8608711311 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
ROBERT KIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|