|
JAMES A BALUKJIAN DDS, INC. PROFIT SHARING PLAN
|
2012
|
050376872
|
2013-07-09
|
JAMES A BALUKJIAN DDS, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4019342666
|
| Plan sponsor’s
address |
26 HARTFORD PIKE, NORTH SCITUATE, RI, 02857
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-09 |
| Name of individual signing |
JAMES BALUKJIAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAMES A BALUKJIAN DDS, INC. PROFIT SHARING PLAN
|
2011
|
050376872
|
2012-07-24
|
JAMES A BALUKJIAN DDS, INC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4019342666
|
| Plan sponsor’s
address |
26 HARTFORD PIKE, NORTH SCITUATE, RI, 02857
|
Plan administrator’s name and address
| Administrator’s EIN |
050376872 |
| Plan administrator’s name |
JAMES A BALUKJIAN DDS, INC |
| Plan administrator’s
address |
26 HARTFORD PIKE, NORTH SCITUATE, RI, 02857 |
| Administrator’s telephone number |
4019342666 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-24 |
| Name of individual signing |
JAMES BALUKJIAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAMES A BALUKJIAN DDS, INC, PROFIT SHARING PLAN
|
2010
|
050376872
|
2011-07-29
|
JAMES A BALUKJIAN DDS, INC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4019342666
|
| Plan sponsor’s
address |
26 HARTFORD PIKE, NORTH SCITUATE, RI, 02857
|
Plan administrator’s name and address
| Administrator’s EIN |
050376872 |
| Plan administrator’s name |
JAMES A BALUKJIAN DDS, INC |
| Plan administrator’s
address |
26 HARTFORD PIKE, NORTH SCITUATE, RI, 02857 |
| Administrator’s telephone number |
4019342666 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
JAMES BALUKJIAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAMES A BALUKJIAN DDS, INC, PROFIT SHARING PLAN
|
2009
|
050376872
|
2010-07-28
|
JAMES A BALUKJIAN DDS, INC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4019342666
|
| Plan sponsor’s
address |
26 HARTFORD PIKE, NORTH SITUATE, RI, 02857
|
Plan administrator’s name and address
| Administrator’s EIN |
050376872 |
| Plan administrator’s name |
JAMES A BALUKJIAN DDS, INC |
| Plan administrator’s
address |
26 HARTFORD PIKE, NORTH SITUATE, RI, 02857 |
| Administrator’s telephone number |
4019342666 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-28 |
| Name of individual signing |
JAMES BALUKJIAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
