|
SACHEM DENTAL GROUP 401(K) AND PROFIT SHARING PLAN & TRUST
|
2012
|
112547652
|
2013-08-19
|
SACHEM DENTAL GROUP, LLP
|
120
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6315883674
|
| Plan sponsor’s
address |
469 HAWKINS AVENUE, LAKE RONKONKOMA, NY, 11779
|
Signature of
| Role |
Plan administrator |
| Date |
2013-08-19 |
| Name of individual signing |
ANTHONY GENTILE |
|
|
|
SACHEM DENTAL GROUP 401K AND PROFIT SHARING PLAN & TRUST
|
2011
|
112547652
|
2012-03-28
|
SACHEM DENTAL GROUP
|
117
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6315888280
|
| Plan sponsor’s
address |
469 HAWKINS AVENUE, LAKE RONKONKOMA, NY, 117794276
|
Plan administrator’s name and address
| Administrator’s EIN |
112547652 |
| Plan administrator’s name |
SACHEM DENTAL GROUP |
| Plan administrator’s
address |
469 HAWKINS AVENUE, LAKE RONKONKOMA, NY, 117794276 |
| Administrator’s telephone number |
6315888280 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-28 |
| Name of individual signing |
ANTHONY GENTILE |
|
|
|
SACHEM DENTAL GROUP 401K AND PROFIT SHARING PLAN & TRUST
|
2010
|
112547652
|
2011-06-30
|
SACHEM DENTAL GROUP
|
116
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6315888280
|
| Plan sponsor’s
address |
469 HAWKINS AVENUE, LAKE RONKONKOMA, NY, 117794276
|
Plan administrator’s name and address
| Administrator’s EIN |
112547652 |
| Plan administrator’s name |
SACHEM DENTAL GROUP |
| Plan administrator’s
address |
469 HAWKINS AVENUE, LAKE RONKONKOMA, NY, 117794276 |
| Administrator’s telephone number |
6315888280 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-30 |
| Name of individual signing |
ANTHONY GENTILE |
|
|
|
SACHEM DENTAL GROUP 401K AND PROFIT SHARING PLAN & TRUST
|
2009
|
112547652
|
2010-07-27
|
SACHEM DENTAL GROUP
|
110
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5165888280
|
| Plan sponsor’s
address |
469 HAWKINS AVENUE, LAKE RONKONKOMA, NY, 117794276
|
Plan administrator’s name and address
| Administrator’s EIN |
112547652 |
| Plan administrator’s name |
SACHEM DENTAL GROUP |
| Plan administrator’s
address |
469 HAWKINS AVENUE, LAKE RONKONKOMA, NY, 117794276 |
| Administrator’s telephone number |
5165888280 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-27 |
| Name of individual signing |
ANTHONY GENTILE |
|
|
