CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2023
|
050393795
|
2024-10-15
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
440 BROADWAY, NEWPORT, RI, 02840
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2022
|
050393795
|
2023-10-13
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
440 BROADWAY, NEWPORT, RI, 02840
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2021
|
050393795
|
2022-09-30
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CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
WAYNE A. LABORE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2020
|
050393795
|
2021-09-24
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2021-09-24 |
Name of individual signing |
WAYNE A. LABORE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2019
|
050393795
|
2020-10-07
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
|
Signature of
Role |
Plan administrator |
Date |
2020-10-07 |
Name of individual signing |
WAYNE A. LABORE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2018
|
050393795
|
2019-10-15
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
WAYNE A. LABORE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2017
|
050393795
|
2018-10-15
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2016
|
050393795
|
2017-10-06
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
|
Signature of
Role |
Plan administrator |
Date |
2017-10-06 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2015
|
050393795
|
2016-10-17
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2014
|
050393795
|
2015-10-13
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018466265
|
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2013
|
050393795
|
2014-10-09
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
16
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/09/20141009084721P040015945405001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2000-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018466265 |
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000 |
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2012
|
050393795
|
2013-10-14
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/14/20131014132837P040013930773001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2000-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018466265 |
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2011
|
050393795
|
2012-10-12
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/12/20121012152738P040001499782001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2000-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018466265 |
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000 |
Plan administrator’s name and address
Administrator’s EIN |
050393795 |
Plan administrator’s name |
CHARLES P. COLUMPAR, JR., D.M.D., INC. |
Plan administrator’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000 |
Administrator’s telephone number |
4018466265 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2010
|
050393795
|
2011-10-17
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017091941P040695135216001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2000-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018466265 |
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000 |
Plan administrator’s name and address
Administrator’s EIN |
050393795 |
Plan administrator’s name |
CHARLES P. COLUMPAR, JR., D.M.D., INC. |
Plan administrator’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000 |
Administrator’s telephone number |
4018466265 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN
|
2009
|
050393795
|
2010-10-07
|
CHARLES P. COLUMPAR, JR., D.M.D., INC.
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/07/20101007094420P070003576456001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2000-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018466265 |
Plan sponsor’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000 |
Plan administrator’s name and address
Administrator’s EIN |
050393795 |
Plan administrator’s name |
CHARLES P. COLUMPAR, JR., D.M.D., INC. |
Plan administrator’s
address |
477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000 |
Administrator’s telephone number |
4018466265 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
WAYNE LABORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|