PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2023
|
112286696
|
2024-10-01
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2024-09-30 |
Name of individual signing |
JOO KIM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2022
|
112286696
|
2023-10-06
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2023-10-05 |
Name of individual signing |
JOO KIM |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2021
|
112286696
|
2022-09-29
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
JOO KIM |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2020
|
112286696
|
2021-12-01
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2021-11-24 |
Name of individual signing |
JOO KIM |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2020
|
112286696
|
2021-10-06
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2021-10-06 |
Name of individual signing |
JOO KIM |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2019
|
112286696
|
2020-07-17
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
JOO KIM |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2018
|
112286696
|
2019-09-06
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2019-09-04 |
Name of individual signing |
LESLIE BATNICK |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2016
|
112286696
|
2017-08-10
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2017-08-09 |
Name of individual signing |
LESLIE BATNICK |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2015
|
112286696
|
2016-08-11
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2016-08-10 |
Name of individual signing |
LESLIE BATNICK |
|
|
PROFIT SHARING RETIREMENT PLAN OF SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY, P.C.
|
2014
|
112286696
|
2015-07-30
|
SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5168264949
|
Plan sponsor’s
address |
3366 PARK AVENUE, WANTAGH, NY, 11793
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
LESLIE BATNICK |
|
|