SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN
|
2016
|
141804469
|
2017-08-04
|
SIRIRAVALI DENTAL CARE, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5188834505
|
Plan sponsor’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
|
Signature of
Role |
Plan administrator |
Date |
2017-08-04 |
Name of individual signing |
AMRUTHA MANDAVA |
|
Role |
Employer/plan sponsor |
Date |
2017-08-04 |
Name of individual signing |
AMRUTHA MANDAVA |
|
|
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN
|
2015
|
141804469
|
2016-09-26
|
SIRIRAVALI DENTAL CARE, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5188834505
|
Plan sponsor’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
|
Signature of
Role |
Plan administrator |
Date |
2016-09-26 |
Name of individual signing |
AMRUTHA MANDAVA |
|
|
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN
|
2014
|
141804469
|
2015-07-17
|
SIRIRAVALI DENTAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5188834505
|
Plan sponsor’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
|
Signature of
Role |
Plan administrator |
Date |
2015-07-17 |
Name of individual signing |
AMRUTHA MANDAVA |
|
|
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN
|
2013
|
141804469
|
2014-07-29
|
SIRIRAVALI DENTAL CARE, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5188834505
|
Plan sponsor’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
|
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
AMRUTHA MANDAVA |
|
|
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN
|
2012
|
141804469
|
2013-07-26
|
SIRIRAVALI DENTAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5188834505
|
Plan sponsor’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
AMRUTHA MANDAVA |
|
|
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN
|
2011
|
141804469
|
2012-07-02
|
SIRIRAVALI DENTAL CARE, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5188834505
|
Plan sponsor’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
|
Plan administrator’s name and address
Administrator’s EIN |
141804469 |
Plan administrator’s name |
SIRIRAVALI DENTAL CARE, P.C. |
Plan administrator’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010 |
Administrator’s telephone number |
5188834505 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
AMRUTHA MANDAVA |
|
|
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN
|
2010
|
141804469
|
2011-06-29
|
SIRIRAVALI DENTAL CARE, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5188834505
|
Plan sponsor’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
|
Plan administrator’s name and address
Administrator’s EIN |
141804469 |
Plan administrator’s name |
SIRIRAVALI DENTAL CARE, P.C. |
Plan administrator’s
address |
200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010 |
Administrator’s telephone number |
5188834505 |
Signature of
Role |
Plan administrator |
Date |
2011-06-29 |
Name of individual signing |
AMRUTHA MANDAVA |
|
|