DRIESMAN ORTHODONTICS 401(K) PLAN
|
2023
|
813677354
|
2024-09-18
|
DRIESMAN ORTHODONTICS
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
EMILY DRIESMAN KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-18 |
Name of individual signing |
EMILY DRIESMAN KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS CASH BALANCE PLAN
|
2023
|
813677354
|
2024-09-18
|
DRIESMAN ORTHODONTICS
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2022-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
EMILY DRIESMAN KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-18 |
Name of individual signing |
EMILY DRIESMAN KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS CASH BALANCE PLAN
|
2022
|
813677354
|
2023-05-24
|
DRIESMAN ORTHODONTICS
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2022-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-24 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS 401(K) PLAN
|
2022
|
813677354
|
2023-05-24
|
DRIESMAN ORTHODONTICS
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-24 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS 401(K) PLAN
|
2021
|
813677354
|
2022-05-17
|
DRIESMAN ORTHODONTICS
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2022-05-17 |
Name of individual signing |
EMILY DRIESMAN KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-17 |
Name of individual signing |
EMILY DRIESMAN KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS 401(K) PLAN
|
2020
|
813677354
|
2022-05-16
|
DRIESMAN ORTHODONTICS
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2022-05-16 |
Name of individual signing |
EMILY DRIESMAN KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-16 |
Name of individual signing |
EMILY DRIESMAN KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS 401(K) PLAN
|
2020
|
813677354
|
2021-04-13
|
DRIESMAN ORTHODONTICS
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2021-04-13 |
Name of individual signing |
EMILY KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-13 |
Name of individual signing |
EMILY KEATING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS 401(K) PLAN
|
2019
|
813677354
|
2020-03-26
|
DRIESMAN ORTHODONTICS
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2020-03-26 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-26 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS 401(K) PLAN
|
2018
|
813677354
|
2019-02-23
|
DRIESMAN ORTHODONTICS
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2019-02-23 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-23 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRIESMAN ORTHODONTICS 401(K) PLAN
|
2017
|
813677354
|
2018-03-05
|
DRIESMAN ORTHODONTICS
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2032276061
|
Plan sponsor’s
address |
24 IMPERIAL AVE., WESTPORT, CT, 06880
|
Signature of
Role |
Plan administrator |
Date |
2018-03-05 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-05 |
Name of individual signing |
EMILY DRIESMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|