KINGS DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
113375619
|
2013-07-31
|
KINGS DENTAL, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7187694458
|
Plan sponsor’s
address |
4568 BEDFORD AVE., BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
|
KINGS DENTAL PC 401K PROFIT SHARING
|
2012
|
113375619
|
2013-07-31
|
KINGS DENTAL, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7187694458
|
Plan sponsor’s
address |
4568 BEDFORD AVE., BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
|
KINGS DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
113375619
|
2012-09-04
|
KINGS DENTAL, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7187694458
|
Plan sponsor’s
address |
4568 BEDFORD AVE, BROOKLYN, NY, 11235
|
Plan administrator’s name and address
Administrator’s EIN |
113375619 |
Plan administrator’s name |
KINGS DENTAL, P.C. |
Plan administrator’s
address |
4568 BEDFORD AVE, BROOKLYN, NY, 11235 |
Administrator’s telephone number |
7187694458 |
Signature of
Role |
Plan administrator |
Date |
2012-08-31 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
Role |
Employer/plan sponsor |
Date |
2012-08-31 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
|
KINGS DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
113375619
|
2011-10-12
|
KINGS DENTAL, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7187694458
|
Plan sponsor’s
address |
4568 BEDFORD AVENUE, BROOKLYN, NY, 11235
|
Plan administrator’s name and address
Administrator’s EIN |
113375619 |
Plan administrator’s name |
KINGS DENTAL, P.C. |
Plan administrator’s
address |
4568 BEDFORD AVENUE, BROOKLYN, NY, 11235 |
Administrator’s telephone number |
7187694458 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
|
KINGS DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
113375619
|
2011-10-06
|
KINGS DENTAL, P.C.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7187694458
|
Plan sponsor’s
address |
4568 BEDFORD AVENUE, BROOKLYN, NY, 11235
|
Plan administrator’s name and address
Administrator’s EIN |
113375619 |
Plan administrator’s name |
KINGS DENTAL, P.C. |
Plan administrator’s
address |
4568 BEDFORD AVENUE, BROOKLYN, NY, 11235 |
Administrator’s telephone number |
7187694458 |
Signature of
Role |
Plan administrator |
Date |
2011-08-23 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
Role |
Employer/plan sponsor |
Date |
2011-08-23 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
|
KINGS DENTAL, P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
113375619
|
2010-10-14
|
KINGS DENTAL, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7187694458
|
Plan sponsor’s
address |
4568 BEDFORD AVENUE, BROOKLYN, NY, 11235
|
Plan administrator’s name and address
Administrator’s EIN |
113375619 |
Plan administrator’s name |
KINGS DENTAL, P.C. |
Plan administrator’s
address |
4568 BEDFORD AVENUE, BROOKLYN, NY, 11235 |
Administrator’s telephone number |
7187694458 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
MICHAEL LUKOVSKY |
|
|