JURIM DENTAL STUDIO, INC. PROFIT SHARING PLAN
|
2016
|
113322257
|
2017-07-26
|
JURIM DENTAL STUDIO, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
5164661722
|
Plan sponsor’s
address |
370 CROSSWAYS PARK DR, WOODBURY, NY, 117972050
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
BIANCA JURIM |
|
|
JURIM DENTAL STUDIO, INC. PROFIT SHARING PLAN
|
2015
|
113322257
|
2016-10-14
|
JURIM DENTAL STUDIO, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
5164661722
|
Plan sponsor’s
address |
98 CUTTERMILL RD, GREAT NECK, NY, 110213036
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
BIANCA JURIM |
|
|
JURIM DENTAL STUDIO, INC. PROFIT SHARING PLAN
|
2014
|
113322257
|
2015-09-30
|
JURIM DENTAL STUDIO, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
5164661722
|
Plan sponsor’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
BIANCA JURIM |
|
|
JURIM DENTAL STUDIO, INC. PROFIT SHARING PLAN
|
2013
|
113322257
|
2014-10-09
|
JURIM DENTAL STUDIO, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
5164661722
|
Plan sponsor’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
BIANCA JURIM |
|
|
JURIM DENTAL STUDIO, INC. PROFIT SHARING PLAN
|
2012
|
113322257
|
2013-09-12
|
JURIM DENTAL STUDIO, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
5164661722
|
Plan sponsor’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021
|
Signature of
Role |
Plan administrator |
Date |
2013-09-12 |
Name of individual signing |
BIANCA JURIM |
|
|
JURIM DENTAL STUDIO, INC. PROFIT SHARING PLAN
|
2011
|
113322257
|
2012-09-12
|
JURIM DENTAL STUDIO, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
5164661722
|
Plan sponsor’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113322257 |
Plan administrator’s name |
JURIM DENTAL STUDIO, INC. |
Plan administrator’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5164661722 |
Signature of
Role |
Plan administrator |
Date |
2012-09-12 |
Name of individual signing |
BIANCA JURIM |
|
|
JURIM DENTAL STUDIO, INC. PROFIT SHARING PLAN
|
2010
|
113322257
|
2011-09-09
|
JURIM DENTAL STUDIO, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
5164661722
|
Plan sponsor’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113322257 |
Plan administrator’s name |
JURIM DENTAL STUDIO, INC. |
Plan administrator’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5164661722 |
Signature of
Role |
Plan administrator |
Date |
2011-09-09 |
Name of individual signing |
BIANCA JURIM |
|
|
JURIM DENTAL STUDIO, INC. PROFIT SHARING PLAN
|
2009
|
113322257
|
2010-08-12
|
JURIM DENTAL STUDIO, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
5164661722
|
Plan sponsor’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113322257 |
Plan administrator’s name |
JURIM DENTAL STUDIO, INC. |
Plan administrator’s
address |
98 CUTTER MILL ROAD, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5164661722 |
Signature of
Role |
Plan administrator |
Date |
2010-08-10 |
Name of individual signing |
BIANCA JURIM |
|
|