SILVER LAKE DENTAL PLLC 401(K) PROFIT SHARING PLAN
|
2023
|
274654652
|
2024-06-10
|
SILVER LAKE DENTAL PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 N. CENTER STREET, PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2024-06-05 |
Name of individual signing |
TIMOTHY DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
274654652
|
2023-06-28
|
SILVER LAKE DENTAL PLLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 N. CENTER STREET, PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
TIMOTHY DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401(K) PROFIT SHARING PLAN
|
2021
|
274654652
|
2022-07-21
|
SILVER LAKE DENTAL PLLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 N. CENTER STREET, PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
TIMOTHY DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401(K) PROFIT SHARING PLAN
|
2020
|
274654652
|
2021-05-04
|
SILVER LAKE DENTAL PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 N. CENTER STREET, PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2021-04-28 |
Name of individual signing |
TIMOTHY DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401(K) PROFIT SHARING PLAN
|
2019
|
274654652
|
2020-07-15
|
SILVER LAKE DENTAL PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 N. CENTER STREET, PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
TIMOTHY DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401(K) PROFIT SHARING PLAN
|
2018
|
274654652
|
2019-05-16
|
SILVER LAKE DENTAL PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 N. CENTER STREET, PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2019-05-16 |
Name of individual signing |
TIMOTHY DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401(K) PROFIT SHARING PLAN
|
2017
|
274654652
|
2018-04-23
|
SILVER LAKE DENTAL PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 N. CENTER STREET, PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2018-04-20 |
Name of individual signing |
TIMOTHY DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
274654652
|
2017-06-27
|
SILVER LAKE DENTAL PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 NORTH CENTER ST., PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
TIMOTHY J DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
274654652
|
2016-07-07
|
SILVER LAKE DENTAL PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 NORTH CENTER ST., PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
TIMOTHY J DERUYTER |
|
|
SILVER LAKE DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
274654652
|
2015-06-25
|
SILVER LAKE DENTAL PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5852373530
|
Plan sponsor’s
address |
114 NORTH CENTER ST., PERRY, NY, 14530
|
Signature of
Role |
Plan administrator |
Date |
2015-06-25 |
Name of individual signing |
TIMOTHY J DERUYTER |
|
|