FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN
|
2019
|
262458548
|
2020-03-25
|
FAMILY DENTISTRY OF WINDSOR, PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606884634
|
Plan sponsor’s
address |
230 BROAD STREET, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2020-03-25 |
Name of individual signing |
STEPHEN LIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-25 |
Name of individual signing |
STEPHEN LIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN
|
2018
|
262458548
|
2019-10-01
|
FAMILY DENTISTRY OF WINDSOR, PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606884634
|
Plan sponsor’s
address |
230 BROAD STREET, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
STEPHEN LIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
STEPHEN LIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN
|
2014
|
262458548
|
2015-10-13
|
FAMILY DENTISTRY OF WINDSOR, PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606884634
|
Plan sponsor’s
address |
230 BROAD STREET, WINDSOR, CT, 06095
|
|
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN
|
2013
|
262458548
|
2014-10-09
|
FAMILY DENTISTRY OF WINDSOR, PC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606884634
|
Plan sponsor’s
address |
230 BROAD STREET, WINDSOR, CT, 06095
|
|
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN
|
2012
|
262458548
|
2013-07-31
|
FAMILY DENTISTRY OF WINDSOR, PC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606884634
|
Plan sponsor’s
address |
230 BROAD STREET, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
DIANE HEBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN
|
2011
|
262458548
|
2012-10-10
|
FAMILY DENTISTRY OF WINDSOR, PC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606884634
|
Plan sponsor’s
address |
230 BROAD STREET, WINDSOR, CT, 06095
|
Plan administrator’s name and address
Administrator’s EIN |
262458548 |
Plan administrator’s name |
FAMILY DENTISTRY OF WINDSOR, PC |
Plan administrator’s
address |
230 BROAD STREET, WINDSOR, CT, 06095 |
Administrator’s telephone number |
8606884634 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
DIANE HEBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN
|
2010
|
262458548
|
2011-09-15
|
FAMILY DENTISTRY OF WINDSOR, PC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606884634
|
Plan sponsor’s
address |
230 BROAD STREET, WINDSOR, CT, 06095
|
Plan administrator’s name and address
Administrator’s EIN |
262458548 |
Plan administrator’s name |
FAMILY DENTISTRY OF WINDSOR, PC |
Plan administrator’s
address |
230 BROAD STREET, WINDSOR, CT, 06095 |
Administrator’s telephone number |
8606884634 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
JAMES CONSOLATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN
|
2009
|
262458548
|
2010-08-09
|
FAMILY DENTISTRY OF WINDSOR, PC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606884634
|
Plan sponsor’s
address |
230 BROAD STREET, WINDSOR, CT, 06095
|
Plan administrator’s name and address
Administrator’s EIN |
262458548 |
Plan administrator’s name |
FAMILY DENTISTRY OF WINDSOR, PC |
Plan administrator’s
address |
230 BROAD STREET, WINDSOR, CT, 06095 |
Administrator’s telephone number |
8606884634 |
Signature of
Role |
Plan administrator |
Date |
2010-08-09 |
Name of individual signing |
STEPHEN LIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|