EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
300377938
|
2020-10-06
|
EAST SHORE DENTAL CARE, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2020-10-06 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
300377938
|
2020-02-28
|
EAST SHORE DENTAL CARE, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2020-02-28 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
300377938
|
2019-05-04
|
EAST SHORE DENTAL CARE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2019-05-04 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
300377938
|
2018-07-28
|
EAST SHORE DENTAL CARE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2018-07-28 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
300377938
|
2017-10-07
|
EAST SHORE DENTAL CARE, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2017-10-07 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
300377938
|
2016-07-10
|
EAST SHORE DENTAL CARE, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2016-07-10 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
300377938
|
2015-10-09
|
EAST SHORE DENTAL CARE, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
300377938
|
2014-08-25
|
EAST SHORE DENTAL CARE, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2014-08-25 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
300377938
|
2013-10-02
|
EAST SHORE DENTAL CARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|
EAST SHORE DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
300377938
|
2012-10-04
|
EAST SHORE DENTAL CARE, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072733151
|
Plan sponsor’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525
|
Plan administrator’s name and address
Administrator’s EIN |
300377938 |
Plan administrator’s name |
EAST SHORE DENTAL CARE, LLC |
Plan administrator’s
address |
1308 EAST SHORE DRIVE, ITHACA, NY, 148508525 |
Administrator’s telephone number |
6072733151 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
JANICE HALL ORMSBY |
|
|