IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2020
|
161057180
|
2021-02-01
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2021-01-27 |
Name of individual signing |
MARK DOMSER |
|
Role |
Employer/plan sponsor |
Date |
2021-01-27 |
Name of individual signing |
MARK DOMSER |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2019
|
161057180
|
2020-05-01
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2020-05-01 |
Name of individual signing |
MARK DOMSER |
|
Role |
Employer/plan sponsor |
Date |
2020-05-01 |
Name of individual signing |
MARK DOMSER |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2018
|
161057180
|
2019-05-16
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2019-05-14 |
Name of individual signing |
MARK DOMSER |
|
Role |
Employer/plan sponsor |
Date |
2019-05-14 |
Name of individual signing |
MARK DOMSER |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2017
|
161057180
|
2018-04-16
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2018-04-13 |
Name of individual signing |
MARK DOMSER, DDS |
|
Role |
Employer/plan sponsor |
Date |
2018-04-13 |
Name of individual signing |
MARK DOMSER, DDS |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2016
|
161057180
|
2017-04-26
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2017-04-24 |
Name of individual signing |
MARK DOMSER |
|
Role |
Employer/plan sponsor |
Date |
2017-04-24 |
Name of individual signing |
MARK DOMSER |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2015
|
161057180
|
2016-05-16
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2016-05-07 |
Name of individual signing |
MARK DOMSER |
|
Role |
Employer/plan sponsor |
Date |
2016-05-07 |
Name of individual signing |
MARK DOMSER |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2014
|
161057180
|
2015-06-12
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2015-06-12 |
Name of individual signing |
MARK DOMSER |
|
Role |
Employer/plan sponsor |
Date |
2015-06-12 |
Name of individual signing |
MARK DOMSER |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2013
|
161057180
|
2014-04-25
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2014-04-25 |
Name of individual signing |
MARK DOMSER |
|
Role |
Employer/plan sponsor |
Date |
2014-04-25 |
Name of individual signing |
MARK DOMSER |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2012
|
161057180
|
2013-06-12
|
IRA L. DOMSER, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2013-06-11 |
Name of individual signing |
IRA L DOMSER, DDS PC |
|
Role |
Employer/plan sponsor |
Date |
2013-06-11 |
Name of individual signing |
IRA L DOMSER, DDS PC |
|
|
IRA L. DOMSER, D.D.S., P.C. EES DC PENSION
|
2011
|
161057180
|
2012-05-08
|
IRA L. DOMSER, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
3157243737
|
Plan sponsor’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
161057180 |
Plan administrator’s name |
IRA L. DOMSER, D.D.S., P.C. |
Plan administrator’s
address |
29 HERKIMER ROAD, UTICA, NY, 13502 |
Administrator’s telephone number |
3157243737 |
Signature of
Role |
Plan administrator |
Date |
2012-05-03 |
Name of individual signing |
MARK DOMSER |
|
Role |
Employer/plan sponsor |
Date |
2012-05-03 |
Name of individual signing |
MARK DOMSER |
|
|