LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2023
|
261470953
|
2024-10-11
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-11 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2022
|
261470953
|
2023-07-14
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2023-07-11 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-11 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2021
|
261470953
|
2022-06-21
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2022-06-20 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-20 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2020
|
261470953
|
2021-07-23
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-22 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2019
|
261470953
|
2020-07-30
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-30 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2018
|
261470953
|
2019-07-09
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2019-07-02 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-02 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2017
|
261470953
|
2018-07-25
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-24 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2016
|
261470953
|
2017-07-13
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2017-07-10 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-10 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2015
|
261470953
|
2016-07-01
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-30 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2014
|
261470953
|
2015-07-07
|
LAKESIDE DENTAL, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4013923320
|
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
|
Signature of
Role |
Plan administrator |
Date |
2015-07-02 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2013
|
261470953
|
2014-06-10
|
LAKESIDE DENTAL, INC.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/10/20140610093900P040436427137001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4013923320 |
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817 |
Signature of
Role |
Plan administrator |
Date |
2014-06-10 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2012
|
261470953
|
2013-06-27
|
LAKESIDE DENTAL, INC.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/27/20130627152343P030272107731001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4013923320 |
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817 |
Signature of
Role |
Plan administrator |
Date |
2013-06-19 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2011
|
261470953
|
2012-07-17
|
LAKESIDE DENTAL, INC.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/17/20120717132205P030007158626001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4013923320 |
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817 |
Plan administrator’s name and address
Administrator’s EIN |
261470953 |
Plan administrator’s name |
LAKESIDE DENTAL, INC. |
Plan administrator’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817 |
Administrator’s telephone number |
4013923320 |
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2010
|
261470953
|
2011-07-06
|
LAKESIDE DENTAL, INC.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/06/20110706141236P040013411058001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4013923320 |
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817 |
Plan administrator’s name and address
Administrator’s EIN |
261470953 |
Plan administrator’s name |
LAKESIDE DENTAL, INC. |
Plan administrator’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817 |
Administrator’s telephone number |
4013923320 |
Signature of
Role |
Plan administrator |
Date |
2011-07-06 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN
|
2009
|
261470953
|
2010-07-14
|
LAKESIDE DENTAL, INC.
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/14/20100714153926P030126239634001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
4013923320 |
Plan sponsor’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817 |
Plan administrator’s name and address
Administrator’s EIN |
261470953 |
Plan administrator’s name |
LAKESIDE DENTAL, INC. |
Plan administrator’s
address |
34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817 |
Administrator’s telephone number |
4013923320 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
PAUL CALITRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|