CALEB A. GEORGE, D.D.S. 401(K) PROFIT SHARING PLAN
|
2015
|
141628555
|
2016-04-01
|
CALEB A. GEORGE, D.D.S., PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5183840416
|
Plan sponsor’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027
|
Signature of
Role |
Plan administrator |
Date |
2016-04-01 |
Name of individual signing |
CALEB A. GEORGE, DDS |
|
|
CALEB A. GEORGE, D.D.S. 401(K) PROFIT SHARING PLAN
|
2014
|
141628555
|
2015-06-08
|
CALEB A. GEORGE, D.D.S., PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5183840416
|
Plan sponsor’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027
|
Signature of
Role |
Plan administrator |
Date |
2015-06-08 |
Name of individual signing |
CALEB A. GEORGE, DDS |
|
|
CALEB A. GEORGE, D.D.S. 401(K) PROFIT SHARING PLAN
|
2013
|
141628555
|
2014-06-02
|
CALEB A. GEORGE, D.D.S., PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5183840416
|
Plan sponsor’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027
|
Signature of
Role |
Plan administrator |
Date |
2014-06-02 |
Name of individual signing |
CALEB A. GEORGE, DDS |
|
|
CALEB A. GEORGE, D.D.S. 401(K) PROFIT SHARING PLAN
|
2012
|
141628555
|
2013-06-25
|
CALEB A. GEORGE, D.D.S., PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5183840416
|
Plan sponsor’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027
|
Signature of
Role |
Plan administrator |
Date |
2013-06-25 |
Name of individual signing |
CALEB A. GEORGE, DDS |
|
|
CALEB A. GEORGE, D.D.S. 401(K) PROFIT SHARING PLAN
|
2011
|
141628555
|
2012-10-02
|
CALEB A. GEORGE, D.D.S., PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5183840416
|
Plan sponsor’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027
|
Plan administrator’s name and address
Administrator’s EIN |
141628555 |
Plan administrator’s name |
CALEB A. GEORGE, D.D.S., PLLC |
Plan administrator’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027 |
Administrator’s telephone number |
5183840416 |
Signature of
Role |
Plan administrator |
Date |
2012-10-02 |
Name of individual signing |
CALEB A. GEORGE, DDS |
|
|
CALEB A. GEORGE, D.D.S. 401(K) PROFIT SHARING PLAN
|
2010
|
141628555
|
2011-10-15
|
CALEB A. GEORGE, D.D.S., PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5183840416
|
Plan sponsor’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027
|
Plan administrator’s name and address
Administrator’s EIN |
141628555 |
Plan administrator’s name |
CALEB A. GEORGE, D.D.S., PLLC |
Plan administrator’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027 |
Administrator’s telephone number |
5183840416 |
Signature of
Role |
Plan administrator |
Date |
2011-10-15 |
Name of individual signing |
CALEB A. GEORGE, DDS |
|
|
CALEB A. GEORGE, D.D.S. 401(K) PROFIT SHARING PLA
|
2009
|
141628555
|
2010-10-12
|
CALEB A. GEORGE, D.D.S., PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5183840416
|
Plan sponsor’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027
|
Plan administrator’s name and address
Administrator’s EIN |
141628555 |
Plan administrator’s name |
CALEB A. GEORGE, D.D.S., PLLC |
Plan administrator’s
address |
163 LAKE HILL ROAD, BURNT HILLS, NY, 12027 |
Administrator’s telephone number |
5183840416 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
CALEB A. GEORGE, D.D.S |
|
|