BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2023
|
810552064
|
2024-06-26
|
BALANCED LIVING CHIROPRACTIC, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT ROAD SUITE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2024-06-26 |
Name of individual signing |
KEVIN P PHALEN |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2022
|
810552064
|
2023-06-01
|
BALANCED LIVING CHIROPRACTIC, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT ROAD SUITE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2023-06-01 |
Name of individual signing |
KEVIN P PHALEN |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2021
|
810552064
|
2022-07-25
|
BALANCED LIVING CHIROPRACTIC, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT ROAD SUITE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2022-07-25 |
Name of individual signing |
KEVIN P PHALEN |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2020
|
810552064
|
2021-09-08
|
BALANCED LIVING CHIROPRACTIC, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT ROAD SUITE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2021-09-08 |
Name of individual signing |
KEVIN P PHALEN |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2019
|
810552064
|
2021-09-08
|
BALANCED LIVING CHIROPRACTIC, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT ROAD SUITE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2021-09-08 |
Name of individual signing |
STEVEN R NIEMIEC, DC |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2018
|
810552064
|
2019-05-13
|
BALANCED LIVING CHIROPRACTIC, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT RD STE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2019-05-13 |
Name of individual signing |
KEVIN PHALEN |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2017
|
810552064
|
2018-03-09
|
BALANCED LIVING CHIROPRACTIC, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT RD STE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2018-03-09 |
Name of individual signing |
KEVIN PHALEN |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2016
|
810552064
|
2017-07-27
|
BALANCED LIVING CHIROPRACTIC, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT RD STE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
KEVIN PHALEN |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2015
|
810552064
|
2016-07-21
|
BALANCED LIVING CHIROPRACTIC, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT RD STE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
STEVEN NIEMIEC |
|
|
BALANCED LIVING CHIROPRACTIC, LLC 401(K) PLAN
|
2014
|
810552064
|
2015-10-09
|
BALANCED LIVING CHIROPRACTIC, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7168321818
|
Plan sponsor’s
address |
2140 EGGERT RD STE B, AMHERST, NY, 14226
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
STEVEN R NIEMIEC |
|
Role |
Employer/plan sponsor |
Date |
2015-10-08 |
Name of individual signing |
STEVEN R NIEMIEC |
|
|