KORY A. BREITEL, DMD, PLLC PENSION PLAN
|
2013
|
205053987
|
2014-10-08
|
KORY A. BREITEL, DMD, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9144483050
|
Plan sponsor’s mailing address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan sponsor’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
KORY A. BREITEL, DMD, PLLC PENSION PLAN
|
2012
|
205053987
|
2013-10-11
|
KORY A. BREITEL, DMD, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9144483050
|
Plan sponsor’s mailing address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan sponsor’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KORY A. BREITEL, DMD, PLLC PENSION PLAN
|
2011
|
205053987
|
2012-09-24
|
KORY A. BREITEL, DMD, PLLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9144483050
|
Plan sponsor’s mailing address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan sponsor’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan administrator’s name and address
Administrator’s EIN |
205053987 |
Plan administrator’s name |
KORY A. BREITEL, DMD, PLLC |
Plan administrator’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708 |
Administrator’s telephone number |
9144483050 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-09-24 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-24 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KORY A. BREITEL, DMD, PLLC PENSION PLAN
|
2011
|
205053987
|
2012-09-24
|
KORY A. BREITEL, DMD, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9144483050
|
Plan sponsor’s mailing address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan sponsor’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan administrator’s name and address
Administrator’s EIN |
205053987 |
Plan administrator’s name |
KORY A. BREITEL, DMD, PLLC |
Plan administrator’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708 |
Administrator’s telephone number |
9144483050 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-09-24 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-24 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KORY A. BREITEL, DMD, PLLC PENSION PLAN
|
2010
|
205053987
|
2011-10-26
|
KORY A. BREITEL, DMD, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147797711
|
Plan sponsor’s mailing address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan sponsor’s
address |
71 CRESCENT AVENUE, RYE, NY, 10580
|
Plan administrator’s name and address
Administrator’s EIN |
205053987 |
Plan administrator’s name |
KORY A. BREITEL, DMD, PLLC |
Plan administrator’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708 |
Administrator’s telephone number |
9147797711 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-26 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-26 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KORY A. BREITEL, DMD, PLLC PENSION PLAN
|
2010
|
205053987
|
2011-10-26
|
KORY A. BREITEL, DMD, PLLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147797711
|
Plan sponsor’s mailing address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan sponsor’s
address |
71 CRESCENT AVENUE, RYE, NY, 10580
|
Plan administrator’s name and address
Administrator’s EIN |
205053987 |
Plan administrator’s name |
KORY A. BREITEL, DMD, PLLC |
Plan administrator’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708 |
Administrator’s telephone number |
9147797711 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-26 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-26 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KORY A. BREITEL, DMD, PLLC PENSION PLAN
|
2009
|
205053987
|
2010-09-30
|
KORY A. BREITEL, DMD, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147797711
|
Plan sponsor’s mailing address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan sponsor’s
address |
71 CRESCENT AVENUE, RYE, NY, 10580
|
Plan administrator’s name and address
Administrator’s EIN |
205053987 |
Plan administrator’s name |
KORY A. BREITEL, DMD, PLLC |
Plan administrator’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708 |
Administrator’s telephone number |
9147797711 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-30 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KORY A. BREITEL, DMD, PLLC PENSION PLAN
|
2009
|
205053987
|
2010-09-30
|
KORY A. BREITEL, DMD, PLLC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147797711
|
Plan sponsor’s mailing address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708
|
Plan sponsor’s
address |
71 CRESCENT AVENUE, RYE, NY, 10580
|
Plan administrator’s name and address
Administrator’s EIN |
205053987 |
Plan administrator’s name |
KORY A. BREITEL, DMD, PLLC |
Plan administrator’s
address |
26 PONDFIELD ROAD WEST, BRONXVILLE, NY, 10708 |
Administrator’s telephone number |
9147797711 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-30 |
Name of individual signing |
KORY A. BREITEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|