POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2023
|
141783555
|
2024-07-31
|
POLASKI DENTAL GROUP PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
FARAH POLASKI |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2022
|
141783555
|
2023-07-31
|
POLASKI DENTAL GROUP PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
FARAH POLASKI |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2021
|
141783555
|
2022-10-14
|
POLASKI DENTAL GROUP PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2020
|
141783555
|
2021-10-15
|
POLASKI DENTAL GROUP PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2019
|
141783555
|
2020-10-13
|
POLASKI DENTAL GROUP PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2018
|
141783555
|
2019-08-20
|
POLASKI DENTAL GROUP PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2019-08-20 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2017
|
141783555
|
2018-09-27
|
POLASKI DENTAL GROUP PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2018-09-27 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2016
|
141783555
|
2017-06-01
|
POLASKI DENTAL GROUP PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2017-06-01 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2015
|
141783555
|
2016-07-19
|
POLASKI DENTAL GROUP PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
FARAH POLASKI |
|
|
POLASKI DENTAL GROUP PLLC 401(K) PLAN
|
2014
|
141783555
|
2015-07-08
|
POLASKI DENTAL GROUP PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452463070
|
Plan sponsor’s
address |
8 ULSTER AVENUE, SAUGERTIES, NY, 12477
|
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
FARAH POLASKI |
|
|