L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2020
|
270089938
|
2021-04-28
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2021-04-28 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2019
|
270089938
|
2020-04-20
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2020-04-20 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2018
|
270089938
|
2019-06-19
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2019-06-19 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2017
|
270089938
|
2018-08-23
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2018-08-23 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2016
|
270089938
|
2017-07-31
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2015
|
270089938
|
2016-04-27
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2016-04-27 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2014
|
270089938
|
2015-02-25
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2015-02-25 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2013
|
270089938
|
2014-09-22
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2014-09-22 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2012
|
270089938
|
2013-02-22
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Signature of
Role |
Plan administrator |
Date |
2013-02-22 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN
|
2011
|
270089938
|
2012-02-21
|
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6314627646
|
Plan sponsor’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728
|
Plan administrator’s name and address
Administrator’s EIN |
270089938 |
Plan administrator’s name |
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC |
Plan administrator’s
address |
66 COMMACK ROAD, COMMACK, NY, 11728 |
Administrator’s telephone number |
6314627646 |
Signature of
Role |
Plan administrator |
Date |
2012-02-21 |
Name of individual signing |
JEFFREY C. ROSARIO |
|
|