DFORM, INC. 401(K) RETIREMENT PLAN
|
2017
|
113582722
|
2018-10-15
|
DFORM, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|
DFORM, INC. 401(K) RETIREMENT PLAN
|
2016
|
113582722
|
2017-10-06
|
DFORM, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Signature of
Role |
Plan administrator |
Date |
2017-10-06 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2017-10-06 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|
DFORM, INC. 401(K) RETIREMENT PLAN
|
2015
|
113582722
|
2016-10-15
|
DFORM, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Signature of
Role |
Plan administrator |
Date |
2016-10-15 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2016-10-15 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|
DFORM, INC. 401(K) RETIREMENT PLAN
|
2014
|
113582722
|
2015-04-01
|
DFORM, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Signature of
Role |
Plan administrator |
Date |
2015-04-01 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2015-04-01 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|
DFORM, INC. 401(K) RETIREMENT PLAN
|
2013
|
113582722
|
2014-05-30
|
DFORM, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Signature of
Role |
Plan administrator |
Date |
2014-05-30 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2014-05-30 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|
DFORM, INC. 401(K) RETIREMENT PLAN
|
2012
|
113582722
|
2013-07-10
|
DFORM, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2013-07-10 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|
DFORM, INC. 401(K) RETIREMENT PLAN
|
2011
|
113582722
|
2012-02-27
|
DFORM, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Plan administrator’s name and address
Administrator’s EIN |
113582722 |
Plan administrator’s name |
DFORM, INC. |
Plan administrator’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205 |
Administrator’s telephone number |
7183846887 |
Signature of
Role |
Plan administrator |
Date |
2012-02-27 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2012-02-27 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|
DFORM, INC. 401(K) RETIREMENT PLAN
|
2010
|
113582722
|
2011-06-28
|
DFORM, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Plan administrator’s name and address
Administrator’s EIN |
113582722 |
Plan administrator’s name |
DFORM, INC. |
Plan administrator’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205 |
Administrator’s telephone number |
7183846887 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2011-06-28 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|
DFORM, INC. 401(K) RETIREMENT PLAN
|
2009
|
113582722
|
2010-07-09
|
DFORM, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
7183846887
|
Plan sponsor’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
|
Plan administrator’s name and address
Administrator’s EIN |
113582722 |
Plan administrator’s name |
DFORM, INC. |
Plan administrator’s
address |
63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205 |
Administrator’s telephone number |
7183846887 |
Signature of
Role |
Plan administrator |
Date |
2010-07-09 |
Name of individual signing |
JAMES T. DIETER, TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2010-07-09 |
Name of individual signing |
JAMES T. DIETER, PRESIDENT |
|
|