SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2023
|
050506688
|
2024-07-09
|
SMITH FAMILY DENTAL ASSOCIATES, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2024-07-09 |
Name of individual signing |
MICHELLE GONCALVES, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2022
|
050506688
|
2023-07-17
|
SMITH FAMILY DENTAL ASSOCIATES, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2023-07-17 |
Name of individual signing |
MICHELLE GONCALVES, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2021
|
050506688
|
2022-08-01
|
SMITH FAMILY DENTAL ASSOCIATES, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2022-08-01 |
Name of individual signing |
MICHELLE GONCALVES, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2020
|
050506688
|
2021-06-30
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2021-06-30 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2019
|
050506688
|
2020-07-29
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2018
|
050506688
|
2019-07-29
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2017
|
050506688
|
2018-07-24
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2016
|
050506688
|
2017-07-03
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2017-07-03 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2015
|
050506688
|
2016-06-14
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2016-06-14 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2014
|
050506688
|
2015-06-24
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014347471
|
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2015-06-24 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2013
|
050506688
|
2014-07-23
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
17
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/23/20140723130255P040052270903001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1979-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4014347471 |
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2014-07-23 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2012
|
050506688
|
2013-08-21
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
18
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/21/20130821130634P030129794469001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1979-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4014347471 |
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2013-08-21 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2011
|
050506688
|
2012-07-30
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
22
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/30/20120730103702P040018056546001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1979-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4014347471 |
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2010
|
050506688
|
2011-07-08
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
14
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/08/20110708094731P040418548432001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1979-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4014347471 |
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-08 |
Name of individual signing |
NICOLE STECKLER, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH FAMILY DENTAL ASSOCIATES INC. 401(K) PLAN
|
2009
|
050506688
|
2010-07-21
|
SMITH FAMILY DENTAL ASSOCIATES INC.
|
26
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/21/20100721163857P040388984801001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1979-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4014347471 |
Plan sponsor’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Plan administrator’s name and address
Administrator’s EIN |
050506688 |
Plan administrator’s name |
SMITH FAMILY DENTAL ASSOCIATES INC. |
Plan administrator’s
address |
2780 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014347471 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
NICOLE STECKLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|