DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2020
|
161541726
|
2021-05-28
|
DALE L. DEAHN, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2021-05-27 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2019
|
161541726
|
2020-06-10
|
DALE L. DEAHN, M.D., P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2020-06-08 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2018
|
161541726
|
2019-03-28
|
DALE L. DEAHN, M.D., P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2019-03-28 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2017
|
161541726
|
2018-04-26
|
DALE L. DEAHN, M.D., P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2018-04-25 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2016
|
161541726
|
2017-05-15
|
DALE L. DEAHN, M.D., P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2017-05-15 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2015
|
161541726
|
2016-05-18
|
DALE L. DEAHN, M.D., P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2016-05-17 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2014
|
161541726
|
2015-08-12
|
DALE L. DEAHN, M.D., P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2015-08-11 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2013
|
161541726
|
2014-04-01
|
DALE L. DEAHN, M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2014-03-28 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2012
|
161541726
|
2013-06-04
|
DALE L. DEAHN, M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
DALE DEAHN |
|
|
DALE L. DEAHN, M.D., P.C. 401(K) PLAN
|
2011
|
161541726
|
2012-03-13
|
DALE L. DEAHN, M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854925088
|
Plan sponsor’s
address |
401 MAIN STREET, ARCADE, NY, 14009
|
Plan administrator’s name and address
Administrator’s EIN |
161541726 |
Plan administrator’s name |
DALE L. DEAHN, M.D., P.C. |
Plan administrator’s
address |
401 MAIN STREET, ARCADE, NY, 14009 |
Administrator’s telephone number |
5854925088 |
Signature of
Role |
Plan administrator |
Date |
2012-03-12 |
Name of individual signing |
DALE DEAHN |
|
|