SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2021
|
161593696
|
2022-07-11
|
SPRING PINES DENTAL CARE,LLP
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., SUITE 230, WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2022-07-11 |
Name of individual signing |
DEANNA MICELI |
|
Role |
Employer/plan sponsor |
Date |
2022-07-11 |
Name of individual signing |
DEANNA MICELI |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2021
|
161593696
|
2022-07-11
|
SPRING PINES DENTAL CARE,LLP
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., SUITE 230, WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2022-07-11 |
Name of individual signing |
DEANNA MICELI |
|
Role |
Employer/plan sponsor |
Date |
2022-07-11 |
Name of individual signing |
DEANNA MICELI |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2020
|
161593696
|
2021-07-22
|
SPRING PINES DENTAL CARE, LLP
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
DEANNA MICELI |
|
Role |
Employer/plan sponsor |
Date |
2021-07-22 |
Name of individual signing |
JOSEPH VIOLA |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2019
|
161593696
|
2020-06-29
|
SPRING PINES DENTAL CARE, LLP
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2020-06-29 |
Name of individual signing |
DEANNA MICELI |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2018
|
161593696
|
2019-09-26
|
SPRING PINES DENTAL CARE, LLP
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2019-09-26 |
Name of individual signing |
DEANNA MICELI |
|
Role |
Employer/plan sponsor |
Date |
2019-09-26 |
Name of individual signing |
JOSEPH VIOLA |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2017
|
161593696
|
2018-06-14
|
SPRING PINES DENTAL CARE, LLP
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2018-06-14 |
Name of individual signing |
DEANNA MICELI |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2016
|
161593696
|
2017-07-27
|
SPRING PINES DENTAL CARE, LLP
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
DEANNA MICELI |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
JOSEPH VIOLA |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2015
|
161593696
|
2016-07-29
|
SPRING PINES DENTAL CARE, LLP
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
DEANNA MICELI |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2014
|
161593696
|
2015-10-01
|
SPRING PINES DENTAL CARE, LLP
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
DEANNA MICELI |
|
Role |
Employer/plan sponsor |
Date |
2015-10-01 |
Name of individual signing |
DEANNA MICELI |
|
|
SPRING PINES DENTAL CARE, LLP RETIREMENT PLAN
|
2013
|
161593696
|
2014-07-16
|
SPRING PINES DENTAL CARE, LLP
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5856712720
|
Plan sponsor’s
address |
1695 EMPIRE BLVD., WEBSTER, NY, 14580
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
DEANNA MICELI |
|
Role |
Employer/plan sponsor |
Date |
2014-07-16 |
Name of individual signing |
DEANNA MICELI |
|
|