DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2016
|
208962536
|
2017-07-28
|
JAY D. EISENSTADT, DDS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Plan administrator’s name and address
Administrator’s EIN |
208962536 |
Plan administrator’s name |
JAY D. EISENSTADT, DDS, PLLC |
Plan administrator’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354 |
Administrator’s telephone number |
7188861171 |
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
JAY D. EISENSTADT |
|
|
DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2016
|
208962536
|
2017-07-28
|
JAY D. EISENSTADT, DDS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
JAY D. EISENSTADT |
|
|
DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2015
|
208962536
|
2016-10-10
|
JAY D. EISENSTADT, DDS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Plan administrator’s name and address
Administrator’s EIN |
208962536 |
Plan administrator’s name |
JAY D. EISENSTADT, DDS, PLLC |
Plan administrator’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354 |
Administrator’s telephone number |
7188861171 |
|
DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2014
|
208962536
|
2015-10-14
|
JAY D. EISENSTADT, DDS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Plan administrator’s name and address
Administrator’s EIN |
208962536 |
Plan administrator’s name |
JAY D. EISENSTADT, DDS, PLLC |
Plan administrator’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354 |
Administrator’s telephone number |
7188861171 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
JAY D. EISENSTADT |
|
|
DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2013
|
208962536
|
2014-10-15
|
JAY D. EISENSTADT, DDS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Plan administrator’s name and address
Administrator’s EIN |
208962536 |
Plan administrator’s name |
JAY D. EISENSTADT, DDS, PLLC |
Plan administrator’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354 |
Administrator’s telephone number |
7188861171 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
JAY D. EISENSTADT |
|
|
DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2012
|
208962536
|
2013-10-10
|
JAY D. EISENSTADT, DDS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Plan administrator’s name and address
Administrator’s EIN |
208962536 |
Plan administrator’s name |
JAY D. EISENSTADT, DDS, PLLC |
Plan administrator’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354 |
Administrator’s telephone number |
7188861171 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
JAY D. EISENSTADT |
|
|
DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2011
|
208962536
|
2012-09-23
|
JAY D. EISENSTADT, DDS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Plan administrator’s name and address
Administrator’s EIN |
208962536 |
Plan administrator’s name |
JAY D. EISENSTADT, DDS, PLLC |
Plan administrator’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354 |
Administrator’s telephone number |
7188861171 |
Signature of
Role |
Plan administrator |
Date |
2012-09-23 |
Name of individual signing |
JAY D. EISENSTADT |
|
|
DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2010
|
208962536
|
2011-04-12
|
JAY D. EISENSTADT, DDS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Plan administrator’s name and address
Administrator’s EIN |
208962536 |
Plan administrator’s name |
JAY D. EISENSTADT, DDS, PLLC |
Plan administrator’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354 |
Administrator’s telephone number |
7188861171 |
Signature of
Role |
Plan administrator |
Date |
2011-04-12 |
Name of individual signing |
JAY D. EISENSTADT |
|
Role |
Employer/plan sponsor |
Date |
2011-04-12 |
Name of individual signing |
JAY D. EISENSTADT |
|
|
DR. JAY D. EISENSTADT 401(K) PS PLAN
|
2009
|
208962536
|
2010-09-27
|
JAY D. EISENSTADT, DDS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7188861171
|
Plan sponsor’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
|
Plan administrator’s name and address
Administrator’s EIN |
208962536 |
Plan administrator’s name |
JAY D. EISENSTADT, DDS, PLLC |
Plan administrator’s
address |
142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354 |
Administrator’s telephone number |
7188861171 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
JAY D. EISENSTADT |
|
Role |
Employer/plan sponsor |
Date |
2010-09-27 |
Name of individual signing |
JAY D. EISENSTADT |
|
|