AMERICAN MOBILE DENTAL PC
|
2022
|
201941724
|
2023-05-31
|
AMERICAN MOBILE DENTAL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2023-05-31 |
Name of individual signing |
CESAR VILLAVERDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL CORP 401K
|
2022
|
760674566
|
2023-05-31
|
AMERICAN MOBILE DENTAL CORP
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2023-05-31 |
Name of individual signing |
KJ DRAP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL CORP 401K
|
2021
|
760674566
|
2022-09-01
|
AMERICAN MOBILE DENTAL CORP
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2022-09-01 |
Name of individual signing |
KJ DRAP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL PC
|
2021
|
201941724
|
2022-05-25
|
AMERICAN MOBILE DENTAL
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2022-05-25 |
Name of individual signing |
KJ DRAP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL CORP 401K
|
2020
|
760674566
|
2021-06-24
|
AMERICAN MOBILE DENTAL CORP
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2021-06-24 |
Name of individual signing |
EDWARD LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL PC
|
2020
|
201941724
|
2021-06-24
|
AMERICAN MOBILE DENTAL
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2021-06-24 |
Name of individual signing |
EDWARD LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL PC
|
2019
|
201941724
|
2021-06-24
|
AMERICAN MOBILE DENTAL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2021-06-24 |
Name of individual signing |
EDWARD LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL CORP 401K
|
2019
|
760674566
|
2021-06-24
|
AMERICAN MOBILE DENTAL CORP
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2021-06-24 |
Name of individual signing |
EDWARD LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL CORP 401K
|
2019
|
760674566
|
2021-08-04
|
AMERICAN MOBILE DENTAL CORP
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2021-08-04 |
Name of individual signing |
EDWARD LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MOBILE DENTAL PC
|
2019
|
201941724
|
2021-06-08
|
AMERICAN MOBILE DENTAL
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9148356004
|
Plan sponsor’s
address |
76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902
|
Signature of
Role |
Plan administrator |
Date |
2021-06-08 |
Name of individual signing |
EDWARD LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|