WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
|
2015
|
161170669
|
2016-11-10
|
WILLARD L. SIMONS, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-21
|
Business code |
621210
|
Sponsor’s telephone number |
5859683170
|
Plan sponsor’s mailing address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan sponsor’s
address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan administrator’s name and address
Administrator’s EIN |
161170669 |
Plan administrator’s name |
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST |
Plan administrator’s
address |
130 W MAIN ST, CUBA, NY, 14727 |
Administrator’s telephone number |
5859683170 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
|
2014
|
161170669
|
2016-04-19
|
WILLARD L. SIMONS, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-21
|
Business code |
621210
|
Sponsor’s telephone number |
5859683170
|
Plan sponsor’s mailing address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan sponsor’s
address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan administrator’s name and address
Administrator’s EIN |
161170669 |
Plan administrator’s name |
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST |
Plan administrator’s
address |
130 W MAIN ST, CUBA, NY, 14727 |
Administrator’s telephone number |
5859683170 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
|
2013
|
161170669
|
2015-04-29
|
WILLARD L. SIMONS, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-21
|
Business code |
621210
|
Sponsor’s telephone number |
5859683170
|
Plan sponsor’s mailing address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan sponsor’s
address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan administrator’s name and address
Administrator’s EIN |
161170669 |
Plan administrator’s name |
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST |
Plan administrator’s
address |
130 W MAIN ST, CUBA, NY, 14727 |
Administrator’s telephone number |
5859683170 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
|
2012
|
161170669
|
2014-04-25
|
WILLARD L. SIMONS, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-21
|
Business code |
621210
|
Sponsor’s telephone number |
5859683170
|
Plan sponsor’s mailing address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan sponsor’s
address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan administrator’s name and address
Administrator’s EIN |
161170669 |
Plan administrator’s name |
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST |
Plan administrator’s
address |
130 W MAIN ST, CUBA, NY, 14727 |
Administrator’s telephone number |
5859683170 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-04-25 |
Name of individual signing |
KENNETH FRANK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
|
2011
|
161170669
|
2013-05-21
|
WILLARD L. SIMONS, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-21
|
Business code |
621210
|
Sponsor’s telephone number |
5859683170
|
Plan sponsor’s mailing address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan sponsor’s
address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan administrator’s name and address
Administrator’s EIN |
161170669 |
Plan administrator’s name |
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST |
Plan administrator’s
address |
130 W MAIN ST, CUBA, NY, 14727 |
Administrator’s telephone number |
5859683170 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-05-21 |
Name of individual signing |
KENNETH FRANK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
|
2010
|
161170669
|
2012-04-27
|
WILLARD L. SIMONS, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-21
|
Business code |
621210
|
Sponsor’s telephone number |
5859683170
|
Plan sponsor’s mailing address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan sponsor’s
address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan administrator’s name and address
Administrator’s EIN |
161170669 |
Plan administrator’s name |
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST |
Plan administrator’s
address |
130 W MAIN ST, CUBA, NY, 14727 |
Administrator’s telephone number |
5859683170 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-04-27 |
Name of individual signing |
KENNETH FRANK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
|
2009
|
161170669
|
2011-04-21
|
WILLARD L. SIMONS, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-21
|
Business code |
621210
|
Sponsor’s telephone number |
5859683170
|
Plan sponsor’s mailing address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan sponsor’s
address |
130 W MAIN ST, CUBA, NY, 14727
|
Plan administrator’s name and address
Administrator’s EIN |
161170669 |
Plan administrator’s name |
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST |
Plan administrator’s
address |
130 W MAIN ST, CUBA, NY, 14727 |
Administrator’s telephone number |
5859683170 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-04-21 |
Name of individual signing |
KENNETH FRANK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|