KB LI DENTAL 401(K) PROFIT SHARING PLAN
|
2023
|
862041534
|
2024-07-31
|
KB LI DENTAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
2015050295
|
Plan sponsor’s
address |
1 ALLENBY DR, NORTHPORT, NY, 11768
|
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
KATE BRAYMAN |
|
|
KB LI DENTAL 401(K) PROFIT SHARING PLAN
|
2022
|
862041534
|
2023-07-30
|
KB LI DENTAL P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
2015050295
|
Plan sponsor’s
address |
1 ALLENBY DR, NORTHPORT, NY, 11768
|
Signature of
Role |
Plan administrator |
Date |
2023-07-30 |
Name of individual signing |
KATE BRAYMAN |
|
|
KB LI DENTAL 401(K) PROFIT SHARING PLAN
|
2021
|
862041534
|
2022-09-12
|
KB LI DENTAL P.C.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
2015050295
|
Plan sponsor’s
address |
1 ALLENBY DR, NORTHPORT, NY, 11768
|
Signature of
Role |
Plan administrator |
Date |
2022-09-12 |
Name of individual signing |
KATE BRAYMAN |
|
|
KB LI DENTAL 401(K) PROFIT SHARING PLAN
|
2021
|
862041534
|
2022-09-15
|
KB LI DENTAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
2015050295
|
Plan sponsor’s
address |
1 ALLENBY DR, NORTHPORT, NY, 11768
|
Signature of
Role |
Plan administrator |
Date |
2022-09-15 |
Name of individual signing |
KATE BRAYMAN |
|
|