DENTAL CARE ASSOCIATES, LLC
|
2023
|
161290057
|
2024-10-10
|
DENTAL CARE ASSOCIATES, LLC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
043728817 |
Plan administrator’s name |
TRONCONI SEGARRA & ASSOCIATES |
Plan administrator’s
address |
8321 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166331373 |
Signature of
Role |
Plan administrator |
Date |
2024-09-30 |
Name of individual signing |
MICHAEL B. DOLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-10 |
Name of individual signing |
DR. CHRISTOPHER ENGLERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2022
|
161290057
|
2023-10-09
|
DENTAL CARE ASSOCIATES, LLC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
043728817 |
Plan administrator’s name |
TRONCONI SEGARRA & ASSOCIATES |
Plan administrator’s
address |
8321 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166331373 |
Signature of
Role |
Plan administrator |
Date |
2023-06-23 |
Name of individual signing |
MICHAEL B. DOLAN |
|
Role |
Employer/plan sponsor |
Date |
2023-10-02 |
Name of individual signing |
DR. CHRISTOPHER ENGLERT |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2021
|
161290057
|
2022-09-29
|
DENTAL CARE ASSOCIATES, LLC
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
043728817 |
Plan administrator’s name |
TRONCONI SEGARRA & ASSOCIATES |
Plan administrator’s
address |
8321 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166331373 |
Signature of
Role |
Plan administrator |
Date |
2022-09-08 |
Name of individual signing |
THOMAS D HYZY |
|
Role |
Employer/plan sponsor |
Date |
2022-09-28 |
Name of individual signing |
DR. CHRISTOPHER ENGLERT |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2020
|
161290057
|
2021-10-11
|
DENTAL CARE ASSOCIATES, LLC
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
161389816 |
Plan administrator’s name |
FEELEY, BONAVENTURA & HYZY, CPAS,PC |
Plan administrator’s
address |
5695 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166320606 |
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
THOMAS D HYZY |
|
Role |
Employer/plan sponsor |
Date |
2021-10-11 |
Name of individual signing |
DR. CHRISTOPHER ENGLERT |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2019
|
161290057
|
2020-09-28
|
DENTAL CARE ASSOCIATES, LLC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
161389816 |
Plan administrator’s name |
FEELEY, BONAVENTURA & HYZY, CPAS,PC |
Plan administrator’s
address |
5695 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166320606 |
Signature of
Role |
Plan administrator |
Date |
2020-09-24 |
Name of individual signing |
THOMAS D HYZY |
|
Role |
Employer/plan sponsor |
Date |
2020-09-28 |
Name of individual signing |
DR. CHRISTOPHER ENGLERT |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2018
|
161290057
|
2019-10-10
|
DENTAL CARE ASSOCIATES, LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
161389816 |
Plan administrator’s name |
FEELEY, BONAVENTURA & HYZY, CPAS,PC |
Plan administrator’s
address |
5695 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166320606 |
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
THOMAS D HYZY |
|
Role |
Employer/plan sponsor |
Date |
2019-10-10 |
Name of individual signing |
DR. CHRISTOPHER ENGLERT |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2017
|
161290057
|
2018-10-01
|
DENTAL CARE ASSOCIATES, LLC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
161389816 |
Plan administrator’s name |
FEELEY, BONAVENTURA & HYZY, CPAS,PC |
Plan administrator’s
address |
5695 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166320606 |
Signature of
Role |
Plan administrator |
Date |
2018-09-19 |
Name of individual signing |
THOMAS D HYZY |
|
Role |
Employer/plan sponsor |
Date |
2018-10-01 |
Name of individual signing |
DR. CHRISTOPHER ENGLERT |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2016
|
161290057
|
2017-10-12
|
DENTAL CARE ASSOCIATES, LLC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
161389816 |
Plan administrator’s name |
FEELEY, BONAVENTURA & HYZY, CPAS,PC |
Plan administrator’s
address |
5695 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166320606 |
Signature of
Role |
Plan administrator |
Date |
2017-10-11 |
Name of individual signing |
THOMAS D HYZY |
|
Role |
Employer/plan sponsor |
Date |
2017-10-12 |
Name of individual signing |
DAVID BONNEVIE |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2015
|
161290057
|
2016-10-13
|
DENTAL CARE ASSOCIATES, LLC
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
161389816 |
Plan administrator’s name |
FEELEY, BONAVENTURA & HYZY, CPAS,PC |
Plan administrator’s
address |
5695 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166320606 |
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
THOMAS D HYZY |
|
Role |
Employer/plan sponsor |
Date |
2016-10-13 |
Name of individual signing |
DAVID BONNEVIE |
|
|
DENTAL CARE ASSOCIATES, LLC
|
2014
|
161290057
|
2015-10-08
|
DENTAL CARE ASSOCIATES, LLC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162971644
|
Plan sponsor’s
address |
2145 LANCELOT DRIVE, WHEATFIELD, NY, 14304
|
Plan administrator’s name and address
Administrator’s EIN |
161389816 |
Plan administrator’s name |
FEELEY, BONAVENTURA & HYZY, CPAS,PC |
Plan administrator’s
address |
5695 MAIN STREET, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166320606 |
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
THOMAS D HYZY |
|
Role |
Employer/plan sponsor |
Date |
2015-10-08 |
Name of individual signing |
DAVID BONNEVIE |
|
|