DAVID GOTTESFELD, DDS, P.C. DEFINED BENEFIT PLAN
|
2011
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112286894
|
2013-04-18
|
DAVID GOTTESFELD, D.D.S., P.C.
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6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
5166231617
|
Plan sponsor’s
address |
1757 MERRICK AVENUE, MERRICK, NY, 11566
|
Plan administrator’s name and address
Administrator’s EIN |
112286894 |
Plan administrator’s name |
DAVID GOTTESFELD, D.D.S., P.C. |
Plan administrator’s
address |
1757 MERRICK AVENUE, MERRICK, NY, 11566 |
Administrator’s telephone number |
5166231617 |
Signature of
Role |
Plan administrator |
Date |
2013-04-18 |
Name of individual signing |
DAVID GOTTESFELD, DDS |
|
|
DAVID GOTTESFELD, DDS, P.C. DEFINED BENEFIT PLAN
|
2010
|
112286894
|
2012-05-23
|
DAVID GOTTESFELD, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
5166231617
|
Plan sponsor’s
address |
1757 MERRICK AVENUE, MERRICK, NY, 11566
|
Plan administrator’s name and address
Administrator’s EIN |
112286894 |
Plan administrator’s name |
DAVID GOTTESFELD, D.D.S., P.C. |
Plan administrator’s
address |
1757 MERRICK AVENUE, MERRICK, NY, 11566 |
Administrator’s telephone number |
5166231617 |
Signature of
Role |
Plan administrator |
Date |
2012-05-23 |
Name of individual signing |
DAVID GOTTESFELD, DDS |
|
|
DAVID GOTTESFELD, DDS, P.C. DEFINED BENEFIT PLAN
|
2009
|
112286894
|
2010-07-29
|
DAVID GOTTESFELD, D.D.S., P.C.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Plan sponsor’s mailing address |
1757 MERRICK AVENUE, MERRICK, NY, 11566
|
Plan sponsor’s
address |
1757 MERRICK AVENUE, MERRICK, NY, 11566
|
Plan administrator’s name and address
Administrator’s EIN |
112286894 |
Plan administrator’s name |
DAVID GOTTESFELD, D.D.S., P.C. |
Plan administrator’s
address |
1757 MERRICK AVENUE, MERRICK, NY, 11566 |
|
DAVID GOTTESFELD, DDS, P.C. DEFINED BENEFIT PLAN
|
2009
|
112286894
|
2011-07-14
|
DAVID GOTTESFELD, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
5166231617
|
Plan sponsor’s
address |
1757 MERRICK AVENUE, MERRICK, NY, 11566
|
Plan administrator’s name and address
Administrator’s EIN |
112286894 |
Plan administrator’s name |
DAVID GOTTESFELD, D.D.S., P.C. |
Plan administrator’s
address |
1757 MERRICK AVENUE, MERRICK, NY, 11566 |
Administrator’s telephone number |
5166231617 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
DAVID GOTTESFELD, DDS |
|
|