CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
200313944
|
2024-06-20
|
CICERO DENTAL ASSOCIATES, PLLC
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3152974208
|
Plan sponsor’s
address |
7770 FRONTAGE RD # 7341, CICERO, NY, 13039
|
Signature of
Role |
Plan administrator |
Date |
2024-06-19 |
Name of individual signing |
DAVID R. DEVITO, DDS |
|
Role |
Employer/plan sponsor |
Date |
2024-06-19 |
Name of individual signing |
DAVID R. DEVITO, DDS |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
200313944
|
2023-09-13
|
CICERO DENTAL ASSOCIATES, PLLC
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3152974208
|
Plan sponsor’s
address |
C/O NORTHEAST DENTAL GROUP, PO BOX 488, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2023-09-13 |
Name of individual signing |
DAVID DEVITO |
|
Role |
Employer/plan sponsor |
Date |
2023-09-13 |
Name of individual signing |
DAVID DEVITO |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
200313944
|
2022-10-14
|
CICERO DENTAL ASSOCIATES, PLLC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3152974208
|
Plan sponsor’s
address |
C/O NORTHEAST DENTAL GROUP, PO BOX 488, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
DAVID DEVITO |
|
Role |
Employer/plan sponsor |
Date |
2022-10-14 |
Name of individual signing |
DAVID DEVITO |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
200313944
|
2021-10-08
|
CICERO DENTAL ASSOCIATES, PLLC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3152974208
|
Plan sponsor’s
address |
C/O NORTHEAST DENTAL GROUP, 184 SOUTH FIRST STREET, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2021-10-07 |
Name of individual signing |
DAVID R. DEVITO, DDS |
|
Role |
Employer/plan sponsor |
Date |
2021-10-07 |
Name of individual signing |
DAVID R. DEVITO, DDS |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
200313944
|
2020-10-14
|
CICERO DENTAL ASSOCIATES, PLLC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3152974208
|
Plan sponsor’s
address |
C/O NORTHEAST DENTAL GROUP, 184 SOUTH FIRST STREET, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
DAVID DEVITO |
|
Role |
Employer/plan sponsor |
Date |
2020-10-14 |
Name of individual signing |
DAVID DEVITO |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
200313944
|
2019-07-22
|
CICERO DENTAL ASSOCIATES, PLLC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3152974208
|
Plan sponsor’s
address |
C/O NORTHEAST DENTAL GROUP, 184 SOUTH FIRST STREET, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
DAVID R DEVITO |
|
Role |
Employer/plan sponsor |
Date |
2019-07-19 |
Name of individual signing |
DAVID R DEVITO |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
200313944
|
2018-07-19
|
CICERO DENTAL ASSOCIATES, PLLC
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3152974208
|
Plan sponsor’s
address |
C/O NORTHEAST DENTAL GROUP, 184 SOUTH FIRST STREET, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2018-07-19 |
Name of individual signing |
DAVID DEVITO |
|
Role |
Employer/plan sponsor |
Date |
2018-07-19 |
Name of individual signing |
DAVID DEVITO |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
200313944
|
2017-09-12
|
CICERO DENTAL ASSOCIATES, PLLC
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3155922400
|
Plan sponsor’s
address |
C/O DENTAL HEALTH SOLUTIONS, PLLC, 633 WEST 3RD STREET, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2017-09-12 |
Name of individual signing |
DAVID DEVITO |
|
Role |
Employer/plan sponsor |
Date |
2017-09-12 |
Name of individual signing |
DAVID DEVITO |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
200313944
|
2016-07-11
|
CICERO DENTAL ASSOCIATES, PLLC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3155922400
|
Plan sponsor’s
address |
C/O DENTAL HEALTH SOLUTIONS, PLLC, 633 WEST 3RD STREET, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
DAVID DEVITO |
|
Role |
Employer/plan sponsor |
Date |
2016-07-11 |
Name of individual signing |
DAVID DEVITO |
|
|
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
200313944
|
2015-09-11
|
CICERO DENTAL ASSOCIATES, PLLC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3155922400
|
Plan sponsor’s
address |
C/O DENTAL HEALTH SOLUTIONS, PLLC, 633 WEST 3RD STREET, FULTON, NY, 13069
|
Signature of
Role |
Plan administrator |
Date |
2015-09-11 |
Name of individual signing |
DAVID DEVITO |
|
Role |
Employer/plan sponsor |
Date |
2015-09-11 |
Name of individual signing |
DAVID DEVITO |
|
|