SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2021
|
113002124
|
2022-10-07
|
SWEETWATER DENTAL CARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
10 PLEASANT DR., SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2022-10-07 |
Name of individual signing |
ROBERT BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2020
|
113002124
|
2021-08-19
|
SWEETWATER DENTAL CARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
112 ALEXANDER AVE, SUITE A, LAKE GROVE, NY, 11755
|
Signature of
Role |
Plan administrator |
Date |
2021-08-19 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2021-08-19 |
Name of individual signing |
ROBERT BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2019
|
113002124
|
2020-10-09
|
SWEETWATER DENTAL CARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
112 ALEXANDER AVE, SUITE A, LAKE GROVE, NY, 11755
|
Signature of
Role |
Plan administrator |
Date |
2020-10-09 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2020-10-09 |
Name of individual signing |
ROBERT BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2018
|
113002124
|
2019-07-16
|
SWEETWATER DENTAL CARE, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
112 ALEXANDER AVE, SUITE A, LAKE GROVE, NY, 11755
|
Signature of
Role |
Plan administrator |
Date |
2019-07-16 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2019-07-16 |
Name of individual signing |
ROBERT BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2017
|
113002124
|
2018-08-01
|
SWEETWATER DENTAL CARE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
112 ALEXANDER AVE, SUITE A, LAKE GROVE, NY, 11755
|
Signature of
Role |
Plan administrator |
Date |
2018-08-01 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2018-08-01 |
Name of individual signing |
ROBERT BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2016
|
113002124
|
2017-06-15
|
SWEETWATER DENTAL CARE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
112 ALEXANDER AVE, SUITE A, LAKE GROVE, NY, 11755
|
Signature of
Role |
Plan administrator |
Date |
2017-06-15 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2017-06-15 |
Name of individual signing |
ROBERT BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2015
|
113002124
|
2016-10-11
|
SWEETWATER DENTAL CARE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
112 ALEXANDER AVE, SUITE A, LAKE GROVE, NY, 11755
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
ROBERT BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2014
|
113002124
|
2015-06-29
|
SWEETWATER DENTAL CARE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
112 ALEXANDER AVE, SUITE A, LAKE GROVE, NY, 11755
|
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
PATRICIA BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2015-06-29 |
Name of individual signing |
PATRICIA BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2013
|
113002124
|
2014-07-10
|
SWEETWATER DENTAL CARE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
515 ROUTE 111, SUITE 102, HAUPPAUGE, NY, 11788
|
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2014-07-10 |
Name of individual signing |
ROBERT BRANCA |
|
|
SWEETWATER DENTAL CARE, LLC 401 (K) PLAN
|
2012
|
113002124
|
2013-09-12
|
SWEETWATER DENTAL CARE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6312656655
|
Plan sponsor’s
address |
515 ROUTE 111, SUITE 102, HAUPPAUGE, NY, 11788
|
Signature of
Role |
Plan administrator |
Date |
2013-09-12 |
Name of individual signing |
ROBERT BRANCA |
|
Role |
Employer/plan sponsor |
Date |
2013-09-12 |
Name of individual signing |
ROBERT BRANCA |
|
|