|
NEXT GENERATION DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
262174659
|
2014-10-08
|
NEXT GENERATION DENTAL, LLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605892794
|
| Plan sponsor’s
address |
4 MORRIS AVENUE, BRISTOL, CT, 06010
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-08 |
| Name of individual signing |
JILL MCCUTCHEON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEXT GENERATION DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
262174659
|
2013-05-14
|
NEXT GENERATION DENTAL, LLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605892794
|
| Plan sponsor’s
address |
4 MORRIS AVENUE, BRISTOL, CT, 06010
|
Signature of
| Role |
Plan administrator |
| Date |
2013-05-14 |
| Name of individual signing |
JILL MCCUTCHEON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEXT GENERATION DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
262174659
|
2012-06-14
|
NEXT GENERATION DENTAL, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605892794
|
| Plan sponsor’s
address |
4 MORRIS AVENUE, BRISTOL, CT, 060104448
|
Plan administrator’s name and address
| Administrator’s EIN |
262174659 |
| Plan administrator’s name |
NEXT GENERATION DENTAL, LLC |
| Plan administrator’s
address |
4 MORRIS AVENUE, BRISTOL, CT, 060104448 |
| Administrator’s telephone number |
8605892794 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-14 |
| Name of individual signing |
JILL MCCUTCHEON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-14 |
| Name of individual signing |
JILL MCCUTCHEON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEXT GENERATION DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
262174659
|
2011-04-20
|
NEXT GENERATION DENTAL, LLC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605892794
|
| Plan sponsor’s
address |
4 MORRIS AVENUE, BRISTOL, CT, 060104448
|
Plan administrator’s name and address
| Administrator’s EIN |
262174659 |
| Plan administrator’s name |
NEXT GENERATION DENTAL, LLC |
| Plan administrator’s
address |
4 MORRIS AVENUE, BRISTOL, CT, 060104448 |
| Administrator’s telephone number |
8605892794 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-20 |
| Name of individual signing |
JILL MCCUTCHEON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-04-20 |
| Name of individual signing |
JILL MCCUTCHEON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEXT GENERATION DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
262174659
|
2010-07-09
|
NEXT GENERATION DENTAL, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8605892794
|
| Plan sponsor’s
address |
4 MORRIS AVENUE, BRISTOL, CT, 060104448
|
Plan administrator’s name and address
| Administrator’s EIN |
262174659 |
| Plan administrator’s name |
NEXT GENERATION DENTAL, LLC |
| Plan administrator’s
address |
4 MORRIS AVENUE, BRISTOL, CT, 060104448 |
| Administrator’s telephone number |
8605892794 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-09 |
| Name of individual signing |
CHARLES J. BENCIVENGO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-09 |
| Name of individual signing |
CHARLES J. BENCIVENGO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
