GREGORY DAVIS DMD P C 401 K PROFIT SHARING PLAN TRUST
|
2014
|
113615220
|
2015-12-09
|
GREGORY DAVIS DMD P C
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312873600
|
Plan sponsor’s
address |
325 MEETING HOUSE LN STE F, SOUTHAMPTON, NY, 119685087
|
Signature of
Role |
Plan administrator |
Date |
2015-12-08 |
Name of individual signing |
GREGORY DAVIS |
|
|
GREGORY DAVIS DMD P C 401 K PROFIT SHARING PLAN TRUST
|
2014
|
113615220
|
2015-12-09
|
GREGORY DAVIS DMD P C
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312873600
|
Plan sponsor’s
address |
325 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968
|
Signature of
Role |
Plan administrator |
Date |
2015-12-08 |
Name of individual signing |
GREGORYDAVIS |
|
|
GREGORY DAVIS DMD P C 401 K PROFIT SHARING PLAN TRUST
|
2014
|
113615220
|
2015-12-09
|
GREGORY DAVIS DMD P C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312873600
|
Plan sponsor’s
address |
325 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968
|
Signature of
Role |
Plan administrator |
Date |
2015-12-09 |
Name of individual signing |
GREGORY DAVIS |
|
|
GREGORY DAVIS DMD P C 401 K PROFIT SHARING PLAN TRUST
|
2013
|
113615220
|
2015-12-09
|
GREGORY DAVIS DMD P C
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312873600
|
Plan sponsor’s
address |
325 MEETING HOUSE LN STE F, SOUTHAMPTON, NY, 119685087
|
Signature of
Role |
Plan administrator |
Date |
2015-12-08 |
Name of individual signing |
GREGORY DAVIS |
|
|
GREGORY DAVIS DMD P C 401 K PROFIT SHARING PLAN TRUST
|
2012
|
113615220
|
2015-12-09
|
GREGORY DAVIS DMD P C
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312873600
|
Plan sponsor’s
address |
325 MEETING HOUSE LN STE F, SOUTHAMPTON, NY, 119685087
|
Signature of
Role |
Plan administrator |
Date |
2015-12-08 |
Name of individual signing |
GREGORY DAVIS DMD P C |
|
|
GREGORY DAVIS DMD P C 401 K PROFIT SHARING PLAN TRUST
|
2011
|
113615220
|
2015-12-09
|
GREGORY DAVIS DMD P C
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312873600
|
Plan sponsor’s
address |
325 MEETING HOUSE LN STE F, SOUTHAMPTON, NY, 119685087
|
Plan administrator’s name and address
Administrator’s EIN |
113615220 |
Plan administrator’s name |
GREGORY DAVIS DMD P C |
Plan administrator’s
address |
325 MEETING HOUSE LN STE F, SOUTHAMPTON, NY, 119685087 |
Administrator’s telephone number |
6312873600 |
Signature of
Role |
Plan administrator |
Date |
2015-12-08 |
Name of individual signing |
GREGORY DAVIS DMD P C |
|
|