ADIRONDACK DERMATOLOGY, P.C. 401(K) PLAN AND TRUST
|
2023
|
141789371
|
2024-05-09
|
ADIRONDACK DERMATOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2024-05-09 |
Name of individual signing |
JOHN DEJORDY |
|
Role |
Employer/plan sponsor |
Date |
2024-05-09 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. 401(K) PLAN AND TRUST
|
2022
|
141789371
|
2023-06-29
|
ADIRONDACK DERMATOLOGY, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2023-06-29 |
Name of individual signing |
JOHN DEJORDY |
|
Role |
Employer/plan sponsor |
Date |
2023-06-29 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2021
|
141789371
|
2022-06-30
|
ADIRONDACK DERMATOLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2022-06-30 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2020
|
141789371
|
2021-07-08
|
ADIRONDACK DERMATOLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2021-07-08 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2019
|
141789371
|
2020-07-16
|
ADIRONDACK DERMATOLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2018
|
141789371
|
2019-07-11
|
ADIRONDACK DERMATOLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2019-07-11 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2017
|
141789371
|
2018-08-16
|
ADIRONDACK DERMATOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2018-08-16 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2016
|
141789371
|
2017-07-10
|
ADIRONDACK DERMATOLOGY, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2017-07-10 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2015
|
141789371
|
2016-07-25
|
ADIRONDACK DERMATOLOGY, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
JOHN DEJORDY |
|
|
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2014
|
141789371
|
2015-06-18
|
ADIRONDACK DERMATOLOGY, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185637546
|
Plan sponsor’s
address |
1753 ROUTE 3, MORRISONVILLE, NY, 12962
|
Signature of
Role |
Plan administrator |
Date |
2015-06-18 |
Name of individual signing |
JOHN DEJORDY |
|
|