LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2023
|
141796858
|
2024-10-08
|
LAGRANGE DENTAL, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
JOHN GRANGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2022
|
141796858
|
2023-10-04
|
LAGRANGE DENTAL, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
JOHN GRANGER |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
141796858
|
2022-10-05
|
LAGRANGE DENTAL, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2022-10-05 |
Name of individual signing |
JOHN GRANGER |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
141796858
|
2021-09-21
|
LAGRANGE DENTAL, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2021-09-21 |
Name of individual signing |
JOHN GRANGER |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
141796858
|
2020-09-28
|
LAGRANGE DENTAL, P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2020-09-28 |
Name of individual signing |
JOHN GRANGER |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
141796858
|
2019-09-15
|
LAGRANGE DENTAL, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2019-09-15 |
Name of individual signing |
JOHN GRANGER |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
141796858
|
2018-09-20
|
LAGRANGE DENTAL, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2018-09-20 |
Name of individual signing |
JOHN GRANGER |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
141796858
|
2017-10-03
|
LAGRANGE DENTAL, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
JOHN GRANGER |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
141796858
|
2016-10-06
|
LAGRANGE DENTAL, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
JOHN GRANGER |
|
|
LAGRANGE DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
141796858
|
2015-10-09
|
LAGRANGE DENTAL, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454524031
|
Plan sponsor’s
address |
1133 ROUTE 55, SUITE C, LAGRANGEVILLE, NY, 12540
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
JOHN GRANGER |
|
|