HAVENS & HAVENS DDS, PLLC PROFIT SHARING PLAN
|
2014
|
205999893
|
2015-11-18
|
HAVENS & HAVENS DDS, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162856268
|
Plan sponsor’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303
|
Signature of
Role |
Plan administrator |
Date |
2015-11-18 |
Name of individual signing |
TODD L. HAVENS DDS |
|
Role |
Employer/plan sponsor |
Date |
2015-11-18 |
Name of individual signing |
TODD L. HAVENS DDS |
|
|
HAVENS & HAVENS DDS, PLLC PROFIT SHARING PLAN
|
2013
|
205999893
|
2014-10-23
|
HAVENS & HAVENS DDS, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162856268
|
Plan sponsor’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303
|
Signature of
Role |
Plan administrator |
Date |
2014-10-23 |
Name of individual signing |
TODD HAVENS |
|
Role |
Employer/plan sponsor |
Date |
2014-10-23 |
Name of individual signing |
TODD HAVENS |
|
|
HAVENS & HAVENS DDS, PLLC PROFIT SHARING PLAN
|
2012
|
205999893
|
2013-10-09
|
HAVENS & HAVENS DDS, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162856268
|
Plan sponsor’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
TODD HAVENS |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
TODD HAVENS |
|
|
HAVENS & HAVENS DDS, PLLC PROFIT SHARING PLAN
|
2011
|
205999893
|
2012-10-12
|
HAVENS & HAVENS DDS, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162856268
|
Plan sponsor’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303
|
Plan administrator’s name and address
Administrator’s EIN |
205999893 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303 |
Administrator’s telephone number |
7162856268 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
TODD HAVENS |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
TODD HAVENS |
|
|
HAVENS & HAVENS DDS, PLLC PROFIT SHARING PLAN
|
2010
|
205999893
|
2011-10-06
|
HAVENS & HAVENS DDS, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162856268
|
Plan sponsor’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303
|
Plan administrator’s name and address
Administrator’s EIN |
205999893 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303 |
Administrator’s telephone number |
7162856268 |
Signature of
Role |
Plan administrator |
Date |
2011-10-06 |
Name of individual signing |
TODD HAVENS |
|
Role |
Employer/plan sponsor |
Date |
2011-10-06 |
Name of individual signing |
TODD HAVENS |
|
|
HAVENS & HAVENS DDS, PLLC PROFIT SHARING PLAN
|
2009
|
205999893
|
2010-10-13
|
HAVENS & HAVENS DDS, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162856268
|
Plan sponsor’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303
|
Plan administrator’s name and address
Administrator’s EIN |
205999893 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY, 14303 |
Administrator’s telephone number |
7162856268 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
TODD HAVENS |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
TODD HAVENS |
|
|