EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
455627539
|
2024-05-24
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2024-05-24 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-24 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
455627539
|
2023-04-16
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2023-04-16 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-16 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
455627539
|
2022-05-08
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2022-05-08 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-08 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
455627539
|
2021-03-26
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2021-03-26 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-26 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
455627539
|
2020-05-27
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2020-05-27 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-27 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
455627539
|
2019-04-15
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2019-04-15 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-15 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
455627539
|
2018-04-11
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2018-04-11 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-11 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
455627539
|
2017-02-19
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2017-02-19 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-19 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
455627539
|
2016-02-21
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2016-02-21 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-21 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
455627539
|
2015-03-01
|
EVERGREEN FAMILY DENTAL CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2034382176
|
Plan sponsor’s
address |
30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877
|
Signature of
Role |
Plan administrator |
Date |
2015-03-01 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-01 |
Name of individual signing |
HARINDER SANDHU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|