OTSEGO DENTAL CARE, PLLC 401(K) PLAN
|
2023
|
463784245
|
2024-07-17
|
OTSEGO DENTAL CARE, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6074413200
|
Plan sponsor’s
address |
32 MAIN STREET, ONEONTA, NY, 13820
|
Plan administrator’s name and address
Administrator’s EIN |
463784245 |
Plan administrator’s name |
OTSEGO DENTAL CARE, PLLC |
Plan administrator’s
address |
32 MAIN STREET, ONEONTA, NY, 13820 |
Administrator’s telephone number |
6074413200 |
Signature of
Role |
Plan administrator |
Date |
2024-07-17 |
Name of individual signing |
DR. HOLLIS HEINZERLING |
|
|
OTSEGO DENTAL CARE, PLLC 401(K) PLAN
|
2022
|
463784245
|
2023-05-18
|
OTSEGO DENTAL CARE, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6074413200
|
Plan sponsor’s
address |
32 MAIN STREET, ONEONTA, NY, 13820
|
Plan administrator’s name and address
Administrator’s EIN |
463784245 |
Plan administrator’s name |
OTSEGO DENTAL CARE, PLLC |
Plan administrator’s
address |
32 MAIN STREET, ONEONTA, NY, 13820 |
Administrator’s telephone number |
6074413200 |
Signature of
Role |
Plan administrator |
Date |
2023-05-18 |
Name of individual signing |
DR. HOLLIS HEINZERLING |
|
|
OTSEGO DENTAL CARE, PLLC 401(K) PLAN
|
2021
|
463784245
|
2022-06-28
|
OTSEGO DENTAL CARE, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6074413200
|
Plan sponsor’s
address |
32 MAIN STREET, ONEONTA, NY, 13820
|
Plan administrator’s name and address
Administrator’s EIN |
463784245 |
Plan administrator’s name |
OTSEGO DENTAL CARE, PLLC |
Plan administrator’s
address |
32 MAIN STREET, ONEONTA, NY, 13820 |
Administrator’s telephone number |
6074413200 |
Signature of
Role |
Plan administrator |
Date |
2022-06-28 |
Name of individual signing |
DR. HOLLIS HEINZERLING |
|
|
OTSEGO DENTAL CARE, PLLC 401(K) PLAN
|
2020
|
463784245
|
2021-08-24
|
OTSEGO DENTAL CARE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6074413200
|
Plan sponsor’s
address |
32 MAIN STREET, ONEONTA, NY, 13820
|
Plan administrator’s name and address
Administrator’s EIN |
463784245 |
Plan administrator’s name |
OTSEGO DENTAL CARE, PLLC |
Plan administrator’s
address |
32 MAIN STREET, ONEONTA, NY, 13820 |
Administrator’s telephone number |
6074413200 |
Signature of
Role |
Plan administrator |
Date |
2021-08-24 |
Name of individual signing |
DR. HOLLIS HEINZERLING |
|
|
OTSEGO DENTAL CARE, PLLC 401(K) PLAN
|
2019
|
463784245
|
2020-05-08
|
OTSEGO DENTAL CARE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6074413200
|
Plan sponsor’s
address |
32 MAIN STREET, ONEONTA, NY, 13820
|
Plan administrator’s name and address
Administrator’s EIN |
463784245 |
Plan administrator’s name |
OTSEGO DENTAL CARE, PLLC |
Plan administrator’s
address |
32 MAIN STREET, ONEONTA, NY, 13820 |
Administrator’s telephone number |
6074413200 |
Signature of
Role |
Plan administrator |
Date |
2020-05-08 |
Name of individual signing |
DR. HOLLIS HEINZERLING |
|
|
OTSEGO DENTAL CARE, PLLC 401(K) PLAN
|
2018
|
463784245
|
2019-05-29
|
OTSEGO DENTAL CARE, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6074413200
|
Plan sponsor’s
address |
32 MAIN STREET, ONEONTA, NY, 13820
|
Plan administrator’s name and address
Administrator’s EIN |
463784245 |
Plan administrator’s name |
OTSEGO DENTAL CARE, PLLC |
Plan administrator’s
address |
32 MAIN STREET, ONEONTA, NY, 13820 |
Administrator’s telephone number |
6074413200 |
Signature of
Role |
Plan administrator |
Date |
2019-05-29 |
Name of individual signing |
DR. HOLLIS HEINZERLING |
|
|
OTSEGO DENTAL CARE, PLLC 401(K) PLAN
|
2017
|
463784245
|
2018-04-25
|
OTSEGO DENTAL CARE, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6074413200
|
Plan sponsor’s
address |
32 MAIN STREET, ONEONTA, NY, 13820
|
Plan administrator’s name and address
Administrator’s EIN |
463784245 |
Plan administrator’s name |
OTSEGO DENTAL CARE, PLLC |
Plan administrator’s
address |
32 MAIN STREET, ONEONTA, NY, 13820 |
Administrator’s telephone number |
6074413200 |
Signature of
Role |
Plan administrator |
Date |
2018-04-25 |
Name of individual signing |
DR. HOLLIS HEINZERLING |
|
|
OTSEGO DENTAL CARE, PLLC 401(K) PLAN
|
2016
|
463784245
|
2017-05-26
|
OTSEGO DENTAL CARE, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6074413200
|
Plan sponsor’s
address |
32 MAIN STREET, ONEONTA, NY, 13820
|
Plan administrator’s name and address
Administrator’s EIN |
463784245 |
Plan administrator’s name |
OTSEGO DENTAL CARE, PLLC |
Plan administrator’s
address |
32 MAIN STREET, ONEONTA, NY, 13820 |
Administrator’s telephone number |
6074413200 |
Signature of
Role |
Plan administrator |
Date |
2017-05-26 |
Name of individual signing |
DR. HOLLIS HEINZERLING |
|
|