MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2022
|
270923036
|
2023-06-13
|
MARIAN C. PILECKI DDS, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD., LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2023-06-12 |
Name of individual signing |
ANDREW E PILECKI |
|
Role |
Employer/plan sponsor |
Date |
2023-06-12 |
Name of individual signing |
ANDREW E PILECKI |
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2022
|
270923036
|
2023-10-18
|
MARIAN C. PILECKI DDS, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD., LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2023-10-18 |
Name of individual signing |
ANDREW E PILECKI |
|
Role |
Employer/plan sponsor |
Date |
2023-10-18 |
Name of individual signing |
ANDREW E PILECKI |
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
270923036
|
2022-05-23
|
MARIAN C. PILECKI DDS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD., LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2022-05-23 |
Name of individual signing |
ANDREW E PILECKI |
|
Role |
Employer/plan sponsor |
Date |
2022-05-23 |
Name of individual signing |
ANDREW E PILECKI |
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
270923036
|
2021-07-28
|
MARIAN C. PILECKI DDS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD., LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
ANDREW E PILECKI |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
ANDREW E PILECKI |
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
270923036
|
2020-05-12
|
MARIAN C. PILECKI DDS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD., LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2020-05-11 |
Name of individual signing |
ANDREW E PILECKI |
|
Role |
Employer/plan sponsor |
Date |
2020-05-11 |
Name of individual signing |
ANDREW E PILECKI |
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
270923036
|
2019-03-14
|
MARIAN C PILECKI DDS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD, PENDLETON, NY, 14094
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
270923036
|
2018-07-09
|
MARIAN C PILECKI DDS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD, PENDLETON, NY, 14094
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
270923036
|
2017-05-10
|
MARIAN C PILECKI DDS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD, PENDLETON, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2017-05-10 |
Name of individual signing |
MARIAN PILECKI |
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
270923036
|
2016-07-22
|
MARIAN C PILECKI DDS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD, PENDLETON, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
WENDY POLLEY |
|
|
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
270923036
|
2015-07-30
|
MARIAN C PILECKI DDS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7166254129
|
Plan sponsor’s
address |
6511 CAMPBELL BLVD, PENDLETON, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
WENDY POLLEY |
|
|