ANTONIO J. MATTERO, D.D.S., INC. PROFIT SHARING PLAN
|
2011
|
050355702
|
2012-08-18
|
ANTONIO J. MATTERO, D.D.S., INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4015967734
|
Plan sponsor’s
address |
31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
|
Plan administrator’s name and address
Administrator’s EIN |
050355702 |
Plan administrator’s name |
ANTONIO J. MATTERO, D.D.S., INC. |
Plan administrator’s
address |
31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901 |
Administrator’s telephone number |
4015967734 |
Signature of
Role |
Plan administrator |
Date |
2012-08-18 |
Name of individual signing |
ANTONIO J. MATTERO, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-18 |
Name of individual signing |
ANTONIO J. MATTERO, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANTONIO J. MATTERO, D.D.S., INC. PROFIT SHARING PLAN
|
2011
|
050355702
|
2012-07-31
|
ANTONIO J. MATTERO, D.D.S., INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4015967734
|
Plan sponsor’s
address |
31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
|
Plan administrator’s name and address
Administrator’s EIN |
050355702 |
Plan administrator’s name |
ANTONIO J. MATTERO, D.D.S., INC. |
Plan administrator’s
address |
31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901 |
Administrator’s telephone number |
4015967734 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
ANTONIO J. MATTERO, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-31 |
Name of individual signing |
ANTONIO J. MATTERO, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANTONIO J. MATTERO, D.D.S., INC. PROFIT SHARING PLAN
|
2010
|
050355702
|
2011-08-30
|
ANTONIO J. MATTERO, D.D.S., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4015967734
|
Plan sponsor’s
address |
31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
|
Plan administrator’s name and address
Administrator’s EIN |
050355702 |
Plan administrator’s name |
ANTONIO J. MATTERO, D.D.S., INC. |
Plan administrator’s
address |
31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901 |
Administrator’s telephone number |
4015967734 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
ANTONIO J MATTERO DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-30 |
Name of individual signing |
ANTONIO J MATTERO DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANTONIO J. MATTERO, D.D.S., INC. PROFIT SHARING PLAN
|
2009
|
050355702
|
2010-09-08
|
ANTONIO J. MATTERO, D.D.S., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4015967734
|
Plan sponsor’s mailing address |
31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
|
Plan sponsor’s
address |
ANTONIO J. MATTERO, 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
|
Plan administrator’s name and address
Administrator’s EIN |
050355702 |
Plan administrator’s name |
ANTONIO J. MATTERO, D.D.S., INC. |
Plan administrator’s
address |
31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901 |
Administrator’s telephone number |
4015967734 |
Number of participants as of the end of the plan year
Active participants |
7 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-09-08 |
Name of individual signing |
ANTONIO J MATTERO DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-08 |
Name of individual signing |
ANTONIO J MATTERO DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|