KELLY TSIMIDIS DDS 401(K) PLAN
|
2019
|
273510824
|
2020-12-09
|
K. KELLY TSIMIDIS DENTISTRY, PLLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7164338272
|
Plan sponsor’s
address |
24 PROFESSIONAL PARKWAY, LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2020-12-08 |
Name of individual signing |
KELLY TSIMIDIS |
|
Role |
Employer/plan sponsor |
Date |
2020-12-08 |
Name of individual signing |
KELLY TSIMIDIS |
|
|
KELLY TSIMIDIS DDS 401(K) PLAN
|
2019
|
273510824
|
2020-07-16
|
K. KELLY TSIMIDIS DENTISTRY, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7164338272
|
Plan sponsor’s
address |
24 PROFESSIONAL PARKWAY, LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
KELLY TSIMIDIS |
|
Role |
Employer/plan sponsor |
Date |
2020-07-15 |
Name of individual signing |
KELLY TSIMIDIS |
|
|
KELLY TSIMIDIS DDS 401(K) PLAN
|
2018
|
273510824
|
2019-07-30
|
K. KELLY TSIMIDIS DENTISTRY, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7164338272
|
Plan sponsor’s
address |
24 PROFESSIONAL PARKWAY, LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
KELLY TSIMIDIS |
|
Role |
Employer/plan sponsor |
Date |
2019-07-30 |
Name of individual signing |
KELLY TSIMIDIS |
|
|
KELLY TSIMIDIS DDS 401(K) PLAN
|
2017
|
273510824
|
2018-06-18
|
K. KELLY TSIMIDIS DENTISTRY, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7164338272
|
Plan sponsor’s
address |
24 PROFESSIONAL PARKWAY, LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
KELLY TSIMIDIS |
|
Role |
Employer/plan sponsor |
Date |
2018-06-18 |
Name of individual signing |
KELLY TSIMIDIS |
|
|
KELLY TSIMIDIS DDS 401(K) PLAN
|
2016
|
273510824
|
2017-10-13
|
K. KELLY TSIMIDIS DENTISTRY, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7164338272
|
Plan sponsor’s
address |
24 PROFESSIONAL PARKWAY, LOCKPORT, NY, 14094
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
KELLY TSIMIDIS |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
KELLY TSIMIDIS |
|
|