RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN
|
2013
|
300137245
|
2014-08-26
|
RHODE ISLAND DENTAL SURGERY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013531515
|
Plan sponsor’s
address |
468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238
|
Signature of
Role |
Plan administrator |
Date |
2014-08-26 |
Name of individual signing |
PAUL GEUNES, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-26 |
Name of individual signing |
PAUL GEUNES, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN
|
2013
|
300137245
|
2014-08-27
|
RHODE ISLAND DENTAL SURGERY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013531515
|
Plan sponsor’s
address |
468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238
|
Signature of
Role |
Plan administrator |
Date |
2014-08-27 |
Name of individual signing |
PAUL GEUNES,DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-27 |
Name of individual signing |
PAUL GEUNES,DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN
|
2012
|
300137245
|
2013-09-24
|
RHODE ISLAND DENTAL SURGERY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013531515
|
Plan sponsor’s
address |
468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238
|
Signature of
Role |
Plan administrator |
Date |
2013-09-24 |
Name of individual signing |
PAUL GEUNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-24 |
Name of individual signing |
PAUL GEUNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN
|
2010
|
300137245
|
2011-06-27
|
RHODE ISLAND DENTAL SURGERY
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013531515
|
Plan sponsor’s
address |
468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238
|
Plan administrator’s name and address
Administrator’s EIN |
300137245 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238 |
Administrator’s telephone number |
4013531515 |
Signature of
Role |
Plan administrator |
Date |
2011-06-27 |
Name of individual signing |
PAUL GEUNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-27 |
Name of individual signing |
PAUL GEUNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN
|
2009
|
300137245
|
2010-07-14
|
RHODE ISLAND DENTAL SURGERY
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013531515
|
Plan sponsor’s
address |
468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238
|
Plan administrator’s name and address
Administrator’s EIN |
300137245 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238 |
Administrator’s telephone number |
4013531515 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
PAUL GEUNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
PAUL GEUNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|