HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN
|
2019
|
050364969
|
2020-10-30
|
HIGHLAND DENTAL GROUP INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-03-15
|
Business code |
621210
|
Sponsor’s telephone number |
4017286350
|
Plan sponsor’s
address |
1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865
|
Signature of
Role |
Plan administrator |
Date |
2020-10-30 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-30 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN
|
2019
|
050364969
|
2020-03-13
|
HIGHLAND DENTAL GROUP INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-03-15
|
Business code |
621210
|
Sponsor’s telephone number |
4017286350
|
Plan sponsor’s
address |
1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865
|
Signature of
Role |
Plan administrator |
Date |
2020-03-13 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-13 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN
|
2018
|
050364969
|
2019-04-05
|
HIGHLAND DENTAL GROUP INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-03-15
|
Business code |
621210
|
Sponsor’s telephone number |
4017286350
|
Plan sponsor’s
address |
1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865
|
Signature of
Role |
Plan administrator |
Date |
2019-04-04 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-04 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN
|
2017
|
050364969
|
2018-03-09
|
HIGHLAND DENTAL GROUP INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-03-15
|
Business code |
621210
|
Sponsor’s telephone number |
4017286350
|
Plan sponsor’s
address |
1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865
|
Signature of
Role |
Plan administrator |
Date |
2018-03-09 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-09 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN
|
2016
|
050364969
|
2017-03-14
|
HIGHLAND DENTAL GROUP INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-03-15
|
Business code |
621210
|
Sponsor’s telephone number |
4017286350
|
Plan sponsor’s
address |
1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865
|
Signature of
Role |
Plan administrator |
Date |
2017-03-14 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-14 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN
|
2015
|
050364969
|
2016-03-31
|
HIGHLAND DENTAL GROUP INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-03-15
|
Business code |
621210
|
Sponsor’s telephone number |
4017286350
|
Plan sponsor’s
address |
1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865
|
Signature of
Role |
Plan administrator |
Date |
2016-03-31 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-31 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN
|
2014
|
050364969
|
2015-05-22
|
HIGHLAND DENTAL GROUP INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-03-15
|
Business code |
621210
|
Sponsor’s telephone number |
4017286350
|
Plan sponsor’s
address |
1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865
|
Signature of
Role |
Plan administrator |
Date |
2015-05-22 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-22 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN
|
2013
|
050364969
|
2014-10-08
|
HIGHLAND DENTAL GROUP INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-03-15
|
Business code |
621210
|
Sponsor’s telephone number |
4017286350
|
Plan sponsor’s
address |
1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865
|
Signature of
Role |
Plan administrator |
Date |
2014-10-08 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-08 |
Name of individual signing |
LARRY FORTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|