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DAVID CAPPUCCIO, DDS, PLLC

Company Details

Name: DAVID CAPPUCCIO, DDS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Sep 2018 (6 years ago)
Entity Number: 5409886
County: Erie
Place of Formation: New York
Address: 157 BREEZEWOOD DRIVE, ORCHARD PARK, NY, United States, 14127
Address ZIP Code: 14127

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID CAPPUCCIO DDS PLLC 401(K) 2020 831399187 2021-11-29 DAVID CAPPUCCIO DDS PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621210
Sponsor’s telephone number 5857509238
Plan sponsor’s address 157 BREEZEWOOD DR, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2021-11-29
Name of individual signing DAVID CAPPUCCIO
DAVID CAPPUCCIO DDS PLLC 401(K) 2020 831399187 2021-11-15 DAVID CAPPUCCIO DDS PLLC 9
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621210
Sponsor’s telephone number 5857509238
Plan sponsor’s address 157 BREEZEWOOD DR, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2021-11-15
Name of individual signing DAVID CAPPUCCIO
DAVID CAPPUCCIO DDS PLLC 401(K) 2019 831399187 2021-11-29 DAVID CAPPUCCIO DDS PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621210
Sponsor’s telephone number 5857509238
Plan sponsor’s address 157 BREEZEWOOD DR, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2021-11-29
Name of individual signing DAVID CAPPUCCIO
DAVID CAPPUCCIO DDS PLLC 401(K) 2019 831399187 2021-11-15 DAVID CAPPUCCIO DDS PLLC 7
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621210
Sponsor’s telephone number 5857509238
Plan sponsor’s address 157 BREEZEWOOD DR, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2021-11-15
Name of individual signing DAVID CAPPUCCIO
DAVID CAPPUCCIO DDS PLLC 401(K) 2018 831399187 2019-09-05 DAVID CAPPUCCIO DDS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621210
Sponsor’s telephone number 5857509238
Plan sponsor’s address 157 BREEZEWOOD DR, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2019-09-05
Name of individual signing DAVID CAPPUCCIO

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 157 BREEZEWOOD DRIVE, ORCHARD PARK, NY, United States, 14127

Filings

Filing Number Date Filed Type Effective Date
180914000057 2018-09-14 ARTICLES OF ORGANIZATION 2018-09-14

Date of last update: 04 Nov 2024

Sources: New York Secretary of State