JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
161042772
|
2020-10-16
|
JAMES W. FEY, D.M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
373 MADIGNA ROAD, WAVERLY, NY, 148929716
|
Signature of
Role |
Plan administrator |
Date |
2020-10-16 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
161042772
|
2019-02-18
|
JAMES W. FEY, D.M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Signature of
Role |
Plan administrator |
Date |
2019-02-18 |
Name of individual signing |
KATHRYN FEY |
|
Role |
Employer/plan sponsor |
Date |
2019-02-18 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
161042772
|
2018-03-19
|
JAMES W. FEY, D.M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Signature of
Role |
Plan administrator |
Date |
2018-03-19 |
Name of individual signing |
KATHRYN FEY |
|
Role |
Employer/plan sponsor |
Date |
2018-03-19 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
161042772
|
2017-02-28
|
JAMES W. FEY, D.M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Signature of
Role |
Plan administrator |
Date |
2017-02-28 |
Name of individual signing |
KATHRYN FEY |
|
Role |
Employer/plan sponsor |
Date |
2017-02-28 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
161042772
|
2016-04-19
|
JAMES W. FEY, D.M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Signature of
Role |
Plan administrator |
Date |
2016-03-29 |
Name of individual signing |
KATHRYN FEY |
|
Role |
Employer/plan sponsor |
Date |
2016-04-19 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
161042772
|
2015-04-22
|
JAMES W. FEY, D.M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Signature of
Role |
Plan administrator |
Date |
2015-04-22 |
Name of individual signing |
KATHRYN FEY |
|
Role |
Employer/plan sponsor |
Date |
2015-04-22 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
161042772
|
2014-03-18
|
JAMES W. FEY, D.M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Signature of
Role |
Plan administrator |
Date |
2014-03-18 |
Name of individual signing |
KATHRYN FEY |
|
Role |
Employer/plan sponsor |
Date |
2014-03-18 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
161042772
|
2013-01-25
|
JAMES W. FEY, D.M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Signature of
Role |
Plan administrator |
Date |
2013-01-25 |
Name of individual signing |
KATHRYN FEY |
|
Role |
Employer/plan sponsor |
Date |
2013-01-25 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
161042772
|
2012-01-24
|
JAMES W. FEY, D.M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Plan administrator’s name and address
Administrator’s EIN |
161042772 |
Plan administrator’s name |
JAMES W. FEY, D.M.D., P.C. |
Plan administrator’s
address |
402 3RD ST, ITHACA, NY, 148503484 |
Administrator’s telephone number |
6072727200 |
Signature of
Role |
Plan administrator |
Date |
2012-01-24 |
Name of individual signing |
KATHRYN FEY |
|
Role |
Employer/plan sponsor |
Date |
2012-01-24 |
Name of individual signing |
KATHRYN FEY |
|
|
JAMES W. FEY, D.M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
161042772
|
2011-07-19
|
JAMES W. FEY, D.M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
6072727200
|
Plan sponsor’s
address |
402 3RD ST, ITHACA, NY, 148503484
|
Plan administrator’s name and address
Administrator’s EIN |
161042772 |
Plan administrator’s name |
JAMES W. FEY, D.M.D., P.C. |
Plan administrator’s
address |
402 3RD ST, ITHACA, NY, 148503484 |
Administrator’s telephone number |
6072727200 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
JAMES FEY |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
JAMES FEY |
|
|