|
GOLD COAST FAMILY DENTAL, PLLC 401(K) PLAN
|
2012
|
204753585
|
2013-04-23
|
GOLD COAST FAMILY DENTAL, PLLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5168838810
|
| Plan sponsor’s
address |
2 COW NECK ROAD, PORT WASHINGTON, NY, 11050
|
Signature of
| Role |
Plan administrator |
| Date |
2013-04-18 |
| Name of individual signing |
DORON KEREN |
|
| Role |
Employer/plan sponsor |
| Date |
2013-04-18 |
| Name of individual signing |
DORON KEREN |
|
|
|
GOLD COAST FAMILY DENTAL, PLLC 401(K) PLAN
|
2011
|
204753585
|
2012-09-21
|
GOLD COAST FAMILY DENTAL, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5168838810
|
| Plan sponsor’s
address |
2 COW NECK ROAD, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
| Administrator’s EIN |
204753585 |
| Plan administrator’s name |
GOLD COAST FAMILY DENTAL, PLLC |
| Plan administrator’s
address |
2 COW NECK ROAD, PORT WASHINGTON, NY, 11050 |
| Administrator’s telephone number |
5168838810 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-14 |
| Name of individual signing |
DORON KEREN |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-14 |
| Name of individual signing |
DORON KEREN |
|
|
|
GOLD COAST FAMILY DENTAL, PLLC 401(K) PLAN
|
2010
|
204753585
|
2011-07-06
|
GOLD COAST FAMILY DENTAL, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5168838810
|
| Plan sponsor’s
address |
2 COW NECK ROAD, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
| Administrator’s EIN |
204753585 |
| Plan administrator’s name |
GOLD COAST FAMILY DENTAL, PLLC |
| Plan administrator’s
address |
2 COW NECK ROAD, PORT WASHINGTON, NY, 11050 |
| Administrator’s telephone number |
5168838810 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-05 |
| Name of individual signing |
DORON KEREN |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-05 |
| Name of individual signing |
DORON KEREN |
|
|
|
GOLD COAST FAMILY DENTAL, PLLC 401(K) PLAN
|
2009
|
204753585
|
2010-10-06
|
GOLD COAST FAMILY DENTAL, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5168838810
|
| Plan sponsor’s
address |
2 COW NECK ROAD, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
| Administrator’s EIN |
204753585 |
| Plan administrator’s name |
GOLD COAST FAMILY DENTAL, PLLC |
| Plan administrator’s
address |
2 COW NECK ROAD, PORT WASHINGTON, NY, 11050 |
| Administrator’s telephone number |
5168838810 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-04 |
| Name of individual signing |
DORON KEREN |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-04 |
| Name of individual signing |
DORON KEREN |
|
|
