LONG ISLAND ENDODONTICS, P.C. DEFINED BENEFIT PLAN
|
2016
|
112569937
|
2017-10-16
|
LONG ISLAND ENDODONTICS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5163749174
|
Plan sponsor’s
address |
245 EAST 58TH STREET, APT. 19D, NEW YORK, NY, 10022
|
|
LONG ISLAND ENDODONTICS, P.C. DEFINED BENEFIT PLAN
|
2015
|
112569937
|
2016-10-11
|
LONG ISLAND ENDODONTICS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5163749174
|
Plan sponsor’s
address |
245 EAST 58TH STREET, APT. 19D, NEW YORK, NY, 10022
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
RICHARD STURMER |
|
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
RICHARD STURMER |
|
|
LONG ISLAND ENDODONTICS, P.C. DEFINED BENEFIT PLAN
|
2014
|
112569937
|
2015-10-13
|
LONG ISLAND ENDODONTICS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5163743663
|
Plan sponsor’s
address |
1570 STEVENSON ROAD, HEWLETT, NY, 11557
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
BETH SANTOPOLO, EXECUTRIX |
|
Role |
Employer/plan sponsor |
Date |
2015-10-13 |
Name of individual signing |
BETH SANTOPOLO, EXECUTRIX |
|
|
LONG ISLAND ENDODONTICS, P.C. DEFINED BENEFIT PLAN
|
2013
|
112569937
|
2014-10-03
|
LONG ISLAND ENDODONTICS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5163743663
|
Plan sponsor’s
address |
141 FRANKLIN PLACE, SUITE C, WOODMERE, NY, 11598
|
Signature of
Role |
Plan administrator |
Date |
2014-10-03 |
Name of individual signing |
JOHN SANTOPOLO |
|
Role |
Employer/plan sponsor |
Date |
2014-10-03 |
Name of individual signing |
JOHN SANTOPOLO |
|
|
LONG ISLAND ENDODONTICS, P.C. DEFINED BENEFIT PLAN
|
2012
|
112569937
|
2013-10-11
|
LONG ISLAND ENDODONTICS, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5163743663
|
Plan sponsor’s
address |
141 FRANKLIN PLACE, SUITE C, WOODMERE, NY, 11598
|
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
JOHN L. SANTOPOLO |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
JOHN L. SANTOPOLO |
|
|
LONG ISLAND ENDODONTICS, P.C. DEFINED BENEFIT PLAN
|
2011
|
112569937
|
2012-10-12
|
LONG ISLAND ENDODONTICS, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5163743663
|
Plan sponsor’s
address |
141 FRANKLIN PLACE, SUITE C, WOODMERE, NY, 11598
|
Plan administrator’s name and address
Administrator’s EIN |
112569937 |
Plan administrator’s name |
LONG ISLAND ENDODONTICS, P.C. |
Plan administrator’s
address |
141 FRANKLIN PLACE, SUITE C, WOODMERE, NY, 11598 |
Administrator’s telephone number |
5163743663 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
JOHN L. SANTOPOLO |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
JOHN L. SANTOPOLO |
|
|
LONG ISLAND ENDODONTICS, P.C. DEFINED BENEFIT PLAN
|
2010
|
112569937
|
2011-10-13
|
LONG ISLAND ENDODONTICS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5163743663
|
Plan sponsor’s
address |
141 FRANKLIN PLACE, SUITE C, WOODMERE, NY, 11598
|
Plan administrator’s name and address
Administrator’s EIN |
112569937 |
Plan administrator’s name |
LONG ISLAND ENDODONTICS, P.C. |
Plan administrator’s
address |
141 FRANKLIN PLACE, SUITE C, WOODMERE, NY, 11598 |
Administrator’s telephone number |
5163743663 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
JOHN L. SANTOPOLO |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
JOHN L. SANTOPOLO |
|
|
LONG ISLAND ENDODONTICS, P.C. DEFINED BENEFIT PLAN
|
2009
|
112569937
|
2010-09-28
|
LONG ISLAND ENDODONTICS, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5163743663
|
Plan sponsor’s
address |
141 FRANKLIN PLACE, SUITE C, WOODMERE, NY, 11598
|
Plan administrator’s name and address
Administrator’s EIN |
112569937 |
Plan administrator’s name |
LONG ISLAND ENDODONTICS, P.C. |
Plan administrator’s
address |
141 FRANKLIN PLACE, SUITE C, WOODMERE, NY, 11598 |
Administrator’s telephone number |
5163743663 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
JOHN SANTOPOLO |
|
Role |
Employer/plan sponsor |
Date |
2010-09-28 |
Name of individual signing |
JOHN SANTOPOLO |
|
|