MATTIOLI ORTHODONTICS LTD CASH BALANCE PLAN
|
2023
|
050512382
|
2024-10-08
|
MATTIOLI ORTHODONTICS LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2022-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-08 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
050512382
|
2024-06-28
|
MATTIOLI ORTHODONTICS LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2024-06-28 |
Name of individual signing |
ROBERT L. MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS LTD CASH BALANCE PLAN
|
2022
|
050512382
|
2023-08-19
|
MATTIOLI ORTHODONTICS LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2022-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2023-08-19 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-19 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
050512382
|
2023-04-21
|
MATTIOLI ORTHODONTICS LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2023-04-21 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
050512382
|
2022-04-16
|
MATTIOLI ORTHODONTICS LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2022-04-16 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
050512382
|
2021-05-31
|
MATTIOLI ORTHODONTICS LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2021-05-31 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
050512382
|
2020-07-15
|
MATTIOLI ORTHODONTICS LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
050512382
|
2020-07-15
|
MATTIOLI ORTHODONTICS LTD
|
10
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2017
|
050512382
|
2018-10-11
|
MATTIOLI ORTHODONTICS, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401(K)PLAN
|
2017
|
050512382
|
2018-10-11
|
MATTIOLI ORTHODONTICS, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018865900
|
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2016
|
050512382
|
2017-10-09
|
MATTIOLI ORTHODONTICS, LTD.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/09/20171009215212P030203698129001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401(K)PLAN
|
2016
|
050512382
|
2017-10-09
|
MATTIOLI ORTHODONTICS, LTD.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/09/20171009213903P040191180647001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2015
|
050512382
|
2016-10-16
|
MATTIOLI ORTHODONTICS, LTD.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/16/20161016202424P040032249377001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2016-10-16 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401(K)PLAN
|
2015
|
050512382
|
2016-10-16
|
MATTIOLI ORTHODONTICS, LTD.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/16/20161016201444P040032237233001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2016-10-16 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2014
|
050512382
|
2015-10-15
|
MATTIOLI ORTHODONTICS, LTD.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/15/20151015172507P040047468439001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401(K)PLAN
|
2014
|
050512382
|
2015-10-15
|
MATTIOLI ORTHODONTICS, LTD.
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/15/20151015172337P040051962545001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2013
|
050512382
|
2014-07-28
|
MATTIOLI ORTHODONTICS, LTD.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728203618P030003288201001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401(K)PLAN
|
2013
|
050512382
|
2014-07-28
|
MATTIOLI ORTHODONTICS, LTD.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728203143P030023686237001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401(K)PLAN
|
2012
|
050512382
|
2013-07-08
|
MATTIOLI ORTHODONTICS, LTD.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/08/20130708162731P030287747923001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2012
|
050512382
|
2013-07-08
|
MATTIOLI ORTHODONTICS, LTD.
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/08/20130708162612P030375060641001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2011
|
050512382
|
2012-10-11
|
MATTIOLI ORTHODONTICS, LTD.
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/11/20121011220049P040001333974001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Plan administrator’s name and address
Administrator’s EIN |
050512382 |
Plan administrator’s name |
MATTIOLI ORTHODONTICS, LTD. |
Plan administrator’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Administrator’s telephone number |
4018865900 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401(K)PLAN
|
2011
|
050512382
|
2012-10-11
|
MATTIOLI ORTHODONTICS, LTD.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/11/20121011215503P040001333494001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Plan administrator’s name and address
Administrator’s EIN |
050512382 |
Plan administrator’s name |
MATTIOLI ORTHODONTICS, LTD. |
Plan administrator’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 028183459 |
Administrator’s telephone number |
4018865900 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401(K)PLAN
|
2010
|
050512382
|
2011-10-17
|
MATTIOLI ORTHODONTICS, LTD.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017111020P040023245714001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 028183459 |
Plan administrator’s name and address
Administrator’s EIN |
050512382 |
Plan administrator’s name |
MATTIOLI ORTHODONTICS, LTD. |
Plan administrator’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 028183459 |
Administrator’s telephone number |
4018865900 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2010
|
050512382
|
2011-10-17
|
MATTIOLI ORTHODONTICS, LTD.
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017112137P040154794961001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Plan administrator’s name and address
Administrator’s EIN |
050512382 |
Plan administrator’s name |
MATTIOLI ORTHODONTICS, LTD. |
Plan administrator’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Administrator’s telephone number |
4018865900 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. DEFINED BENEFIT PLAN
|
2009
|
050512382
|
2010-10-19
|
MATTIOLI ORTHODONTICS, LTD.
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/19/20101019113343P040036710833001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-07-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Plan administrator’s name and address
Administrator’s EIN |
050512382 |
Plan administrator’s name |
MATTIOLI ORTHODONTICS, LTD. |
Plan administrator’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 02818 |
Administrator’s telephone number |
4018865900 |
Signature of
Role |
Plan administrator |
Date |
2010-10-19 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATTIOLI ORTHODONTICS, LTD. 401K PLAN
|
2009
|
050512382
|
2010-10-04
|
MATTIOLI ORTHODONTICS, LTD.
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/04/20101004111808P040001863704001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4018865900 |
Plan sponsor’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 028183459 |
Plan administrator’s name and address
Administrator’s EIN |
050512382 |
Plan administrator’s name |
MATTIOLI ORTHODONTICS, LTD. |
Plan administrator’s
address |
5550 POST ROAD, EAST GREENWICH, RI, 028183459 |
Administrator’s telephone number |
4018865900 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
ROBERT MATTIOLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|