VAN DONGEN DDS, LLC PROFIT SHARING PLAN
|
2023
|
461891359
|
2024-10-15
|
VAN DONGEN DDS, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014637664
|
Plan sponsor’s
address |
372 IVES STREET, PROVIDENCE, RI, 02906
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
CHAD CARROLL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VAN DONGEN DDS, LLC PROFIT SHARING PLAN
|
2022
|
461891359
|
2023-07-13
|
VAN DONGEN DDS, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014637664
|
Plan sponsor’s
address |
372 IVES STREET, PROVIDENCE, RI, 02906
|
Signature of
Role |
Plan administrator |
Date |
2023-07-13 |
Name of individual signing |
CRAIG VAN DONGEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VAN DONGEN DDS, LLC PROFIT SHARING PLAN
|
2021
|
461891359
|
2022-10-04
|
VAN DONGEN DDS, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4014637664
|
Plan sponsor’s
address |
372 IVES STREET, PROVIDENCE, RI, 02906
|
Signature of
Role |
Plan administrator |
Date |
2022-10-04 |
Name of individual signing |
CRAIG VAN DONGEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VAN DONGEN, D.D.S. LLC PROFIT SHARING PLAN
|
2020
|
461891359
|
2021-10-13
|
VAN DONGEN DDS, LLC
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018313777
|
Plan sponsor’s
address |
372 IVES STREET, PROVIDENCE, RI, 02906
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
CRAIG VAN DONGEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VAN DONGEN, D.D.S. LLC PROFIT SHARING PLAN
|
2019
|
461891359
|
2020-10-15
|
VAN DONGEN DDS, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018313777
|
Plan sponsor’s
address |
372 IVES STREET, PROVIDENCE, RI, 02906
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
CRAIG VAN DONGEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VAN DONGEN, D.D.S. LLC PROFIT SHARING PLAN
|
2018
|
461891359
|
2019-09-30
|
VAN DONGEN DDS, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018313777
|
Plan sponsor’s
address |
372 IVES STREET, PROVIDENCE, RI, 02906
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
CRAIG VAN DONGEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VAN DONGEN, D.D.S. LLC PROFIT SHARING PLAN
|
2017
|
461891359
|
2018-07-31
|
VAN DONGEN DDS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4018313777
|
Plan sponsor’s
address |
372 IVES STREET, PROVIDENCE, RI, 02906
|
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
CRAIG VAN DONGEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|