|
1500 GRANT BLVD DENTISTRY PLLC 401K
|
2023
|
823876196
|
2024-09-23
|
1500 GRANT BLVD DENTISTRY PLLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9178429627
|
| Plan sponsor’s
address |
1500 GRANT BLVD, SYRACUSE, NY, 13208
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-23 |
| Name of individual signing |
ARUN BALAKUMAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
1500 GRANT BLVD DENTISTRY PLLC 401K
|
2022
|
823876196
|
2023-09-12
|
1500 GRANT BLVD DENTISTRY PLLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9178429627
|
| Plan sponsor’s
address |
1500 GRANT BLVD, SYRACUSE, NY, 13208
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-12 |
| Name of individual signing |
ARUN BALAKUMAR |
|
|
|
1500 GRANT BLVD DENTISTRY PLLC 401K
|
2021
|
823876196
|
2022-10-14
|
1500 GRANT BLVD DENTISTRY PLLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9178429627
|
| Plan sponsor’s
address |
1500 GRANT BLVD, SYRACUSE, NY, 13208
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-14 |
| Name of individual signing |
ARUN BALAKUMAR |
|
|
|
1500 GRANT BLVD DENTISTRY PLLC 401K
|
2020
|
823876196
|
2021-07-12
|
1500 GRANT BLVD DENTISTRY PLLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2015601199
|
| Plan sponsor’s
address |
1500 GRANT BLVD, SYRACUSE, NY, 13208
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-12 |
| Name of individual signing |
ARUN BALAKUMAR |
|
|
|
1500 GRANT BLVD DENTISTRY PLLC 401K
|
2019
|
823876196
|
2020-11-18
|
1500 GRANT BLVD DENTISTRY PLLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2015601199
|
| Plan sponsor’s
address |
1500 GRANT BLVD, SYRACUSE, NY, 13208
|
Signature of
| Role |
Plan administrator |
| Date |
2020-11-18 |
| Name of individual signing |
ARUN BALAKUMAR |
|
|
|
1500 GRANT BLVD DENTISTRY PLLC 401K
|
2019
|
823876196
|
2020-11-11
|
1500 GRANT BLVD DENTISTRY PLLC
|
4
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2015601199
|
| Plan sponsor’s
address |
1500 GRANT BLVD, SYRACUSE, NY, 13208
|
Signature of
| Role |
Plan administrator |
| Date |
2020-11-11 |
| Name of individual signing |
ARUN BALAKUMAR |
|
|
|
1500 GRANT BLVD DENTISTRY PLLC 401K
|
2018
|
823876196
|
2019-07-31
|
1500 GRANT BLVD DENTISTRY PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2015601199
|
| Plan sponsor’s
address |
1500 GRANT BLVD, SYRACUSE, NY, 13208
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-31 |
| Name of individual signing |
ARUN BALAKUMAR |
|
|
