DOMINICAN VILLAGE, INC. 401(K) PLAN
|
2016
|
113037708
|
2017-12-27
|
DOMINICAN VILLAGE, INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318426091
|
Plan sponsor’s
address |
565 ALBANY AVENUE, AMITYVILLE, NY, 11701
|
Signature of
Role |
Plan administrator |
Date |
2017-12-26 |
Name of individual signing |
PAUL WASSER |
|
|
DOMINICAN VILLAGE, INC. 401(K) PLAN
|
2015
|
113037708
|
2017-04-05
|
DOMINICAN VILLAGE, INC.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318426091
|
Plan sponsor’s
address |
565 ALBANY AVENUE, AMITYVILLE, NY, 11701
|
Signature of
Role |
Plan administrator |
Date |
2017-04-05 |
Name of individual signing |
PAUL WASSER |
|
|
DOMINICAN VILLAGE, INC. 401(K) PLAN
|
2014
|
113037708
|
2016-03-31
|
DOMINICAN VILLAGE, INC.
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318426091
|
Plan sponsor’s
address |
565 ALBANY AVENUE, AMITYVILLE, NY, 11701
|
Signature of
Role |
Plan administrator |
Date |
2016-03-31 |
Name of individual signing |
PAUL WASSER |
|
|
DOMINICAN VILLAGE, INC. 401(K) PLAN
|
2013
|
113037708
|
2015-01-20
|
DOMINICAN VILLAGE, INC.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318426091
|
Plan sponsor’s
address |
565 ALBANY AVENUE, AMITYVILLE, NY, 11701
|
Signature of
Role |
Plan administrator |
Date |
2015-01-20 |
Name of individual signing |
KENNETH RUTHINOSKI |
|
|
DOMINICAN VILLAGE, INC. 401(K) PLAN
|
2013
|
113037708
|
2015-01-16
|
DOMINICAN VILLAGE, INC.
|
95
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318426091
|
Plan sponsor’s
address |
565 ALBANY AVENUE, AMITYVILLE, NY, 11701
|
Signature of
Role |
Plan administrator |
Date |
2015-01-14 |
Name of individual signing |
KENNETH RUTHINOSKI |
|
|
DOMINICAN VILLAGE, INC. 401(K) PLAN
|
2012
|
113037708
|
2013-12-09
|
DOMINICAN VILLAGE, INC.
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318426091
|
Plan sponsor’s
address |
565 ALBANY AVENUE, AMITYVILLE, NY, 11701
|
Signature of
Role |
Plan administrator |
Date |
2013-12-09 |
Name of individual signing |
KENNETH RUTHINOSKI |
|
|