DENT NEUROLOGIC GROUP, LLP HEALTH AND WELFARE BENEFITS PLAN
|
2022
|
161582336
|
2023-12-15
|
DENT NEUROLOGIC GROUP LLP
|
411
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Plan sponsor’s
address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-12-01 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-12-01 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP, LLP HEALTH AND WELFARE BENEFITS PLAN
|
2021
|
161582336
|
2022-12-06
|
DENT NEUROLOGIC GROUP LLP
|
372
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Plan sponsor’s
address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-12-06 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP, LLP HEALTH AND WELFARE BENEFITS PLAN
|
2020
|
161582336
|
2021-11-19
|
DENT NEUROLOGIC GROUP LLP
|
390
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Plan sponsor’s
address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-11-18 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP, LLP HEALTH AND WELFARE BENEFITS PLAN
|
2019
|
161582336
|
2020-11-06
|
DENT NEUROLOGIC GROUP LLP
|
386
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Plan sponsor’s
address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-11-06 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-06 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP, LLP HEALTH AND WELFARE BENEFITS PLAN
|
2018
|
161582336
|
2019-11-18
|
DENT NEUROLOGIC GROUP LLP
|
359
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Plan sponsor’s
address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-11-14 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-11-14 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP, LLP HEALTH AND WELFARE BENEFITS PLAN
|
2017
|
161582336
|
2018-11-29
|
DENT NEUROLOGIC GROUP LLP
|
338
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Plan sponsor’s
address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-11-28 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP, LLP HEALTH AND WELFARE BENEFITS PLAN
|
2016
|
161582336
|
2017-11-21
|
DENT NEUROLOGIC GROUP LLP
|
293
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Plan sponsor’s
address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-11-20 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-20 |
Name of individual signing |
EVA HODGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP, LLP HEALTH AND WELFARE BENEFITS PLAN
|
2015
|
161582336
|
2016-11-30
|
DENT NEUROLOGIC GROUP LLP
|
263
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Plan sponsor’s
address |
3980 SHERIDAN DR, AMHERST, NY, 142261727
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-11-30 |
Name of individual signing |
ANN OKEEFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-11-30 |
Name of individual signing |
ANN OKEEFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP LLP - LIFE INSURANCE PLAN
|
2014
|
161582336
|
2015-06-11
|
DENT NEUROLOGIC GROUP LLP
|
248
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan sponsor’s mailing address |
3980 SHERIDAN DRIVE, AMHERST, NY, 14226
|
Plan sponsor’s
address |
3980 SHERIDAN DRIVE, AMHERST, NY, 14226
|
Plan administrator’s name and address
Administrator’s EIN |
161582336 |
Plan administrator’s name |
DENT NEUROLOGIC GROUP LLP |
Plan administrator’s
address |
3980 SHERIDAN DRIVE, AMHERST, NY, 14226 |
Administrator’s telephone number |
7162506018 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-11 |
Name of individual signing |
KIMBERLY PETKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENT NEUROLOGIC GROUP LLP - LIFE INSURANCE PLAN
|
2013
|
161582336
|
2014-12-23
|
DENT NEUROLOGIC GROUP LLP
|
248
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7162506018
|
Plan
sponsor’s DBA name |
DENT NEUROLOGIC INSTITUTE
|
Plan sponsor’s mailing address |
3980 SHERIDAN DRIVE, AMHERST, NY, 14226
|
Plan sponsor’s
address |
3980 SHERIDAN DRIVE, AMHERST, NY, 14226
|
Plan administrator’s name and address
Administrator’s EIN |
161582336 |
Plan administrator’s name |
DENT NEUROLOGIC GROUP LLP |
Plan administrator’s
address |
3980 SHERIDAN DRIVE, AMHERST, NY, 14226 |
Administrator’s telephone number |
7162506018 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-12-23 |
Name of individual signing |
KIMBERLY PETKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|