|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2023
|
270870616
|
2024-09-25
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
|
|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2022
|
270870616
|
2023-10-06
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-06 |
| Name of individual signing |
DR. MICHELE BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2021
|
270870616
|
2022-06-10
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-10 |
| Name of individual signing |
DR. MICHELE BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2020
|
270870616
|
2021-09-20
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-20 |
| Name of individual signing |
DR. MICHELE BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2019
|
270870616
|
2020-09-09
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-09 |
| Name of individual signing |
DR. MICHELE BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2018
|
270870616
|
2019-09-24
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
Signature of
| Role |
Plan administrator |
| Date |
2019-09-24 |
| Name of individual signing |
DR. MICHELE BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2017
|
270870616
|
2018-10-08
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
Signature of
| Role |
Plan administrator |
| Date |
2018-10-08 |
| Name of individual signing |
DR. MICHELE BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2016
|
270870616
|
2017-10-03
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
Signature of
| Role |
Plan administrator |
| Date |
2017-10-03 |
| Name of individual signing |
DR. MICHELE BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INFINITY ORAL SURGERY INCENTIVE SAVINGS PLAN
|
2015
|
270870616
|
2016-10-04
|
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2036614231
|
| Plan sponsor’s
address |
49 LAKE AVENUE, GREENWICH, CT, 06830
|
Signature of
| Role |
Plan administrator |
| Date |
2016-10-04 |
| Name of individual signing |
DR MICHELE BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
