JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST
|
2023
|
161463176
|
2024-09-23
|
JAMES M. VLASSIS, D.D.S., M.S., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319
|
Signature of
Role |
Plan administrator |
Date |
2024-09-23 |
Name of individual signing |
JAMES VLASSIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-23 |
Name of individual signing |
JAMES VLASSIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN
|
2023
|
161463176
|
2024-07-18
|
JAMES M. VLASSIS, D.D.S., M.S., P.C
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
PO BOX 296, FAYETTEVILLE, NY, 13066
|
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
JAMES M. VLASSIS, D.D.S. |
|
Role |
Employer/plan sponsor |
Date |
2024-07-18 |
Name of individual signing |
JAMES VLASSIS |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST
|
2022
|
161463176
|
2023-10-03
|
JAMES M. VLASSIS, D.D.S., M.S., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319
|
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
JAMES VLASSIS |
|
Role |
Employer/plan sponsor |
Date |
2023-10-03 |
Name of individual signing |
JAMES VLASSIS |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN
|
2022
|
161463176
|
2023-09-18
|
JAMES M. VLASSIS, D.D.S., M.S., P.C
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
PO BOX 296, FAYETTEVILLE, NY, 13066
|
Signature of
Role |
Plan administrator |
Date |
2023-09-18 |
Name of individual signing |
JAMES M. VLASSIS, D.D.S. |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST
|
2021
|
161463176
|
2022-10-12
|
JAMES M. VLASSIS, D.D.S., M.S., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
JAMES VLASSIS |
|
Role |
Employer/plan sponsor |
Date |
2022-10-12 |
Name of individual signing |
JAMES VLASSIS |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN
|
2021
|
161463176
|
2022-09-30
|
JAMES M. VLASSIS, D.D.S., M.S., P.C
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
PO BOX 296, FAYETTEVILLE, NY, 13066
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
JAMES M. VLASSIS, D.D.S. |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST
|
2020
|
161463176
|
2021-10-13
|
JAMES M. VLASSIS, D.D.S., M.S., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
JAMES VLASSIS |
|
Role |
Employer/plan sponsor |
Date |
2021-10-13 |
Name of individual signing |
JAMES VLASSIS |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN
|
2020
|
161463176
|
2021-07-15
|
JAMES M. VLASSIS, D.D.S., M.S., P.C
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
PO BOX 296, FAYETTEVILLE, NY, 13066
|
Signature of
Role |
Plan administrator |
Date |
2021-07-15 |
Name of individual signing |
JAMES M. VLASSIS, D.D.S. |
|
Role |
Employer/plan sponsor |
Date |
2021-07-15 |
Name of individual signing |
JAMES VLASSIS |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN
|
2019
|
161463176
|
2020-03-09
|
JAMES M. VLASSIS, D.D.S., M.S., P.C
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
PO BOX 296, FAYETTEVILLE, NY, 13066
|
Signature of
Role |
Plan administrator |
Date |
2020-03-09 |
Name of individual signing |
JAMES M. VLASSIS, D.D.S. |
|
|
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST
|
2019
|
161463176
|
2020-09-22
|
JAMES M. VLASSIS, D.D.S., M.S., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3156370777
|
Plan sponsor’s
address |
100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319
|
Signature of
Role |
Plan administrator |
Date |
2020-09-22 |
Name of individual signing |
JAMES VLASSIS |
|
Role |
Employer/plan sponsor |
Date |
2020-09-22 |
Name of individual signing |
JAMES VLASSIS |
|
|