GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
112483361
|
2021-06-03
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES INC. |
Plan administrator’s
address |
1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 117473065 |
Administrator’s telephone number |
6312490500 |
Signature of
Role |
Plan administrator |
Date |
2021-06-03 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
112483361
|
2020-03-09
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES INC. |
Plan administrator’s
address |
1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 117473065 |
Administrator’s telephone number |
6312490500 |
Signature of
Role |
Plan administrator |
Date |
2020-03-09 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
112483361
|
2019-07-29
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES INC. |
Plan administrator’s
address |
1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 117473065 |
Administrator’s telephone number |
6312490500 |
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
ANTHONY WARD |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
112483361
|
2018-02-13
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s mailing address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES INC. |
Plan administrator’s
address |
1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 11747 |
Administrator’s telephone number |
6312490500 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
18 |
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 |
18 |
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 |
2018-02-13 |
Name of individual signing |
ANTHONY WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
112483361
|
2017-01-04
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s mailing address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES INC. |
Plan administrator’s
address |
1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 11747 |
Administrator’s telephone number |
6312490500 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
21 |
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 |
21 |
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 |
2017-01-04 |
Name of individual signing |
ANTHONY WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
112483361
|
2016-04-09
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s mailing address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES INC. |
Plan administrator’s
address |
1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 11747 |
Administrator’s telephone number |
6312490500 |
Number of participants as of the end of the plan year
Active participants |
51 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
7 |
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 |
54 |
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 |
2016-04-09 |
Name of individual signing |
ANTHONY WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
112483361
|
2015-03-17
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s mailing address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES INC. |
Plan administrator’s
address |
1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 11747 |
Administrator’s telephone number |
6312490500 |
Number of participants as of the end of the plan year
Active participants |
44 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
10 |
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 |
51 |
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 |
2015-03-17 |
Name of individual signing |
ANTHONY WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
112483361
|
2014-05-13
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s mailing address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Number of participants as of the end of the plan year
Active participants |
49 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
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 |
51 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2014-05-13 |
Name of individual signing |
ARNOLD TYRANGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-13 |
Name of individual signing |
ARNOLD TYRANGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
112483361
|
2013-03-27
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s mailing address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Number of participants as of the end of the plan year
Active participants |
49 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
8 |
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 |
54 |
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 |
2013-03-26 |
Name of individual signing |
ARNOLD TYRANGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
112483361
|
2012-07-13
|
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5164875500
|
Plan sponsor’s mailing address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan sponsor’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
|
Plan administrator’s name and address
Administrator’s EIN |
112483361 |
Plan administrator’s name |
GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP |
Plan administrator’s
address |
611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208 |
Administrator’s telephone number |
5164875500 |
Number of participants as of the end of the plan year
Active participants |
51 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
6 |
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 |
54 |
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 |
2012-07-13 |
Name of individual signing |
ARNOLD TYRANGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|