|
WOODFORD DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
833055750
|
2023-07-18
|
WOODFORD DENTAL, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032454266
|
| Plan sponsor’s
address |
817 BOSTON POST ROAD, P.O. BOX 566, MADISON, CT, 06443
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-18 |
| Name of individual signing |
SCOTT H. WOODFORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODFORD DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
833055750
|
2022-07-20
|
WOODFORD DENTAL, LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032454266
|
| Plan sponsor’s
address |
817 BOSTON POST ROAD, P.O. BOX 566, MADISON, CT, 06443
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-20 |
| Name of individual signing |
SCOTT H. WOODFORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODFORD DENTAL LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
833055750
|
2024-08-29
|
WOODFORD DENTAL LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032454266
|
| Plan sponsor’s
address |
817 BOSTON POST RD, MADISON, CT, 064433155
|
Plan administrator’s name and address
| Administrator’s EIN |
200200514 |
| Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number |
6153700051 |
Signature of
| Role |
Plan administrator |
| Date |
2024-08-29 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODFORD DENTAL LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
833055750
|
2022-04-12
|
WOODFORD DENTAL LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032454266
|
| Plan sponsor’s
address |
817 BOSTON POST RD, MADISON, CT, 064433155
|
Plan administrator’s name and address
| Administrator’s EIN |
200200514 |
| Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number |
6153700051 |
Signature of
| Role |
Plan administrator |
| Date |
2022-04-06 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODFORD DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
061160595
|
2021-07-19
|
WOODFORD DENTAL, LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032454266
|
| Plan sponsor’s
address |
817 BOSTON POST ROAD, P.O. BOX 566, MADISON, CT, 06443
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-19 |
| Name of individual signing |
SCOTT H. WOODFORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WOODFORD DENTAL, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
061160595
|
2020-09-09
|
WOODFORD DENTAL, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2032454266
|
| Plan sponsor’s
address |
817 BOSTON POST ROAD, P.O. BOX 566, MADISON, CT, 06443
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-09 |
| Name of individual signing |
SCOTT H. WOODFORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
