POLITELLI DENTAL 401(K) PLAN
|
2023
|
815044870
|
2024-04-08
|
POLITELLI DENTAL, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014635480
|
Plan sponsor’s
address |
1353 WARWICK AVENUE, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2024-04-08 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-08 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLITELLI DENTAL 401(K) PLAN
|
2022
|
815044870
|
2023-05-03
|
POLITELLI DENTAL, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014635480
|
Plan sponsor’s
address |
1353 WARWICK AVENUE, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2023-05-03 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-03 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLITELLI DENTAL 401(K) PLAN
|
2021
|
815044870
|
2022-04-06
|
POLITELLI DENTAL, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014635480
|
Plan sponsor’s
address |
1353 WARWICK AVENUE, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2022-04-06 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-06 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLITELLI DENTAL 401(K) PLAN
|
2020
|
815044870
|
2021-02-16
|
POLITELLI DENTAL, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014635480
|
Plan sponsor’s
address |
1353 WARWICK AVENUE, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2021-02-16 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-16 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLITELLI DENTAL 401(K) PLAN
|
2019
|
815044870
|
2020-05-26
|
POLITELLI DENTAL, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014635480
|
Plan sponsor’s
address |
1353 WARWICK AVENUE, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2020-05-26 |
Name of individual signing |
DANIEL POLITELIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-26 |
Name of individual signing |
DANIEL POLITELIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLITELLI DENTAL 401(K) PLAN
|
2018
|
815044870
|
2019-01-16
|
POLITELLI DENTAL, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014635480
|
Plan sponsor’s
address |
1353 WARWICK AVENUE, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2019-01-16 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-01-16 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLITELLI DENTAL 401(K) PLAN
|
2017
|
815044870
|
2018-04-24
|
POLITELLI DENTAL, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014635480
|
Plan sponsor’s
address |
1353 WARWICK AVENUE, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2018-04-24 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-24 |
Name of individual signing |
DANIEL POLITELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|