ALLCARE DENTAL MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
200528751
|
2015-07-31
|
ALLCARE DENTAL MANAGEMENT LLC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
7162044999
|
Plan sponsor’s
address |
1 HSBC CENTER, FLOOR 26, BUFFALO, NY, 14203
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
ROBERT S. BATES |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
ROBERT S. BATES |
|
|
ALLCARE DENTAL MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
200528751
|
2014-07-30
|
ALLCARE DENTAL MANAGEMENT LLC
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
7162044999
|
Plan sponsor’s
address |
P.O. BOX 429, CLARENCE, NY, 14031
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
ROBERT S. BATES |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
ROBERT S. BATES |
|
|
ALLCARE DENTAL MANAGEMENT, LLC HEALTH & WELFARE PLAN
|
2010
|
200528751
|
2011-11-30
|
ALLCARE DENTAL MANAGEMENT, LLC
|
720
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Plan sponsor’s mailing address |
P.O. BOX 429, CLARENCE, NY, 14031
|
Plan sponsor’s
address |
P.O. BOX 429, CLARENCE, NY, 14031
|
Plan administrator’s name and address
Administrator’s EIN |
200528751 |
Plan administrator’s name |
ALLCARE DENTAL MANAGEMENT, LLC |
Plan administrator’s
address |
P.O. BOX 429, CLARENCE, NY, 14031 |
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 |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-11-30 |
Name of individual signing |
DR. ROBERT BATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-30 |
Name of individual signing |
DR. ROBERT BATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLCARE DENTAL MANAGEMENT, LLC HEALTH & WELFARE PLAN
|
2010
|
200528751
|
2011-09-29
|
ALLCARE DENTAL MANAGEMENT, LLC
|
720
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Plan sponsor’s mailing address |
P.O. BOX 429, CLARENCE, NY, 14031
|
Plan sponsor’s
address |
P.O. BOX 429, CLARENCE, NY, 14031
|
Plan administrator’s name and address
Administrator’s EIN |
200528751 |
Plan administrator’s name |
ALLCARE DENTAL MANAGEMENT, LLC |
Plan administrator’s
address |
P.O. BOX 429, CLARENCE, NY, 14031 |
Number of participants as of the end of the plan year
Active participants |
712 |
Retired or separated participants receiving
benefits |
20 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-09-29 |
Name of individual signing |
DR. ROBERT BATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-29 |
Name of individual signing |
DR. ROBERT BATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLCARE DENTAL MANAGEMENT, LLC HEALTH & WELFARE PLAN
|
2009
|
200528751
|
2010-08-05
|
ALLCARE DENTAL MANAGEMENT, LLC
|
726
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-06-01
|
Business code |
621210
|
Sponsor’s telephone number |
7162044999
|
Plan sponsor’s mailing address |
P.O. BOX 316, WILLIAMSVILLE, NY, 14231
|
Plan sponsor’s
address |
P.O. BOX 316, WILLIAMSVILLE, NY, 14231
|
Plan administrator’s name and address
Administrator’s EIN |
200528751 |
Plan administrator’s name |
ALLCARE DENTAL MANAGEMENT, LLC |
Plan administrator’s
address |
P.O. BOX 316, WILLIAMSVILLE, NY, 14231 |
Administrator’s telephone number |
7162044999 |
Number of participants as of the end of the plan year
Active participants |
702 |
Retired or separated participants receiving
benefits |
18 |
Signature of
Role |
Plan administrator |
Date |
2010-08-05 |
Name of individual signing |
DR. ROBERT BATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-05 |
Name of individual signing |
DR. ROBERT BATES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|