LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2023
|
260769767
|
2024-09-22
|
LAKE VIEW DENTISTRY, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2024-09-22 |
Name of individual signing |
CHI KIM VU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
260769767
|
2023-07-21
|
LAKE VIEW DENTISTRY, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2023-07-21 |
Name of individual signing |
CHI KIM VU |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2021
|
260769767
|
2022-08-01
|
LAKE VIEW DENTISTRY, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2022-08-01 |
Name of individual signing |
CHI KIM VU |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2020
|
260769767
|
2021-10-10
|
LAKE VIEW DENTISTRY, PLLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2021-10-10 |
Name of individual signing |
CHI KIM VU |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2019
|
260769767
|
2020-10-14
|
LAKE VIEW DENTISTRY, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
CHI KIM VU |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2018
|
260769767
|
2019-10-10
|
LAKE VIEW DENTISTRY, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
CHI KIM VU |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2017
|
260769767
|
2018-10-15
|
LAKE VIEW DENTISTRY, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
CHI KIM VU |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2016
|
260769767
|
2017-09-10
|
LAKE VIEW DENTISTRY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2017-09-10 |
Name of individual signing |
CHI KIM VU |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2015
|
260769767
|
2016-10-02
|
LAKE VIEW DENTISTRY, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2016-10-02 |
Name of individual signing |
CHI KIM VU |
|
|
LAKE VIEW DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN
|
2014
|
260769767
|
2015-10-13
|
LAKE VIEW DENTISTRY, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5185638222
|
Plan sponsor’s
address |
104 WEST BAY PLAZA, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
CHI KIM VU |
|
|