HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2015
|
133085148
|
2016-06-23
|
HARTSDALE DENTAL GROUP, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9735799583
|
Plan sponsor’s
address |
57 INDIAN HILL ROAD, POUND RIDGE, NY, 10576
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2015
|
133085148
|
2016-06-24
|
HARTSDALE DENTAL GROUP, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9735799583
|
Plan sponsor’s
address |
57 INDIAN HILL ROAD, POUND RIDGE, NY, 10576
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2014
|
133085148
|
2015-10-15
|
HARTSDALE DENTAL GROUP, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9735799583
|
Plan sponsor’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2013
|
133085148
|
2014-10-15
|
HARTSDALE DENTAL GROUP, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147615500
|
Plan sponsor’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2013
|
133085148
|
2014-10-15
|
HARTSDALE DENTAL GROUP, P.C.
|
3
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147615500
|
Plan sponsor’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2012
|
133085148
|
2013-10-14
|
HARTSDALE DENTAL GROUP, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147615500
|
Plan sponsor’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
KATHLEEN DONELLI |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
KATHLEEN DONELLI |
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2011
|
133085148
|
2012-10-12
|
HARTSDALE DENTAL GROUP, P.C.
|
8
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147615500
|
Plan sponsor’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
|
Plan administrator’s name and address
Administrator’s EIN |
133085148 |
Plan administrator’s name |
HARTSDALE DENTAL GROUP, P.C. |
Plan administrator’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530 |
Administrator’s telephone number |
9147615500 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
KATHLEEN DONELLI |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
KATHLEEN DONELLI |
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2011
|
133085148
|
2012-10-12
|
HARTSDALE DENTAL GROUP, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9147615500
|
Plan sponsor’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
|
Plan administrator’s name and address
Administrator’s EIN |
133085148 |
Plan administrator’s name |
HARTSDALE DENTAL GROUP, P.C. |
Plan administrator’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530 |
Administrator’s telephone number |
9147615500 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
KATHLEEN DONELLI |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
KATHLEEN DONELLI |
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2010
|
133085148
|
2011-04-29
|
HARTSDALE DENTAL GROUP, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9735799583
|
Plan sponsor’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
|
Plan administrator’s name and address
Administrator’s EIN |
133085148 |
Plan administrator’s name |
HARTSDALE DENTAL GROUP, P.C. |
Plan administrator’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530 |
Administrator’s telephone number |
9735799583 |
Signature of
Role |
Plan administrator |
Date |
2011-04-28 |
Name of individual signing |
RICHARD DONELLI |
|
Role |
Employer/plan sponsor |
Date |
2011-04-28 |
Name of individual signing |
RICHARD DONELLI |
|
|
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN
|
2009
|
431995279
|
2010-09-08
|
HARTSDALE DENTAL GROUP, P.C.
|
6
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9735799583
|
Plan sponsor’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
|
Plan administrator’s name and address
Administrator’s EIN |
431995279 |
Plan administrator’s name |
HARTSDALE DENTAL GROUP, P.C. |
Plan administrator’s
address |
80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530 |
Administrator’s telephone number |
9735799583 |
Signature of
Role |
Plan administrator |
Date |
2010-09-08 |
Name of individual signing |
RICHARD DONELLI |
|
Role |
Employer/plan sponsor |
Date |
2010-09-08 |
Name of individual signing |
RICHARD DONELLI |
|
|