RETIREMENT INCOME SECURITY PLAN-GREEN GROVE DENTAL
|
2020
|
472291098
|
2022-02-03
|
STEVEN WILLS ALBERT LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454771447
|
Plan sponsor’s
address |
28 BROTHERHOOD PLAZA DRIVE, WASHINGTONVILLE, NY, 10992
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2022-02-03 |
Name of individual signing |
STEVEN STOUT |
|
|
RETIREMENT INCOME SECURITY PLAN-GREEN GROVE DENTAL
|
2019
|
472291098
|
2020-07-24
|
STEVEN WILLS ALBERT LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454771447
|
Plan sponsor’s
address |
28 BROTHERHOOD PLAZA DRIVE, WASHINGTONVILLE, NY, 10992
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
STEVEN STOUT |
|
|
RETIREMENT INCOME SECURITY PLAN-GREEN GROVE DENTAL
|
2018
|
472291098
|
2019-07-25
|
STEVEN WILLS ALBERT LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454771447
|
Plan sponsor’s
address |
28 BROTHERHOOD PLAZA DRIVE, WASHINGTONVILLE, NY, 10992
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
STEVEN STOUT |
|
|
RETIREMENT INCOME SECURITY PLAN-GREEN GROVE DENTAL
|
2017
|
472291098
|
2018-07-27
|
STEVEN WILLS ALBERT LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454771447
|
Plan sponsor’s
address |
28 BROTHERHOOD PLAZA DRIVE, WASHINGTONVILLE, NY, 10992
|
Plan administrator’s name and address
Administrator’s EIN |
821222973 |
Plan administrator’s name |
HEALTHEQUITY RETIREMENT SERVICES, LLC |
Plan administrator’s
address |
15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
SPENCER BARCLAY |
|
|
BENEFITGUARD RETIREMENT INCOME SECURITY PLAN-GREEN GROVE DENTAL
|
2016
|
472291098
|
2017-07-28
|
STEVEN WILLS ALBERT LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2016-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8454771447
|
Plan sponsor’s
address |
28 BROTHERHOOD PLAZA DRIVE, WASHINGTONVILLE, NY, 10992
|
Plan administrator’s name and address
Administrator’s EIN |
205354793 |
Plan administrator’s name |
BENEFITGUARD, LLC |
Plan administrator’s
address |
877 EAST 1200 SOUTH, #1272, OREM, UT, 84097 |
Administrator’s telephone number |
8778602664 |
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
SPENCER BARCLAY |
|
|