MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2023
|
132790915
|
2024-10-09
|
MADISON AVENUE PERIODONTICS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2024-10-09 |
Name of individual signing |
DR. JOHN LANZETTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2022
|
132790915
|
2024-10-09
|
MADISON AVENUE PERIODONTICS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2024-10-09 |
Name of individual signing |
DR. JOHN LANZETTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2022
|
132790915
|
2023-09-25
|
MADISON AVENUE PERIODONTICS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2023-09-25 |
Name of individual signing |
DR. JOHN LANZETTA |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2021
|
132790915
|
2022-10-12
|
MADISON AVENUE PERIODONTICS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
DR. JOHN LANZETTA |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2020
|
132790915
|
2021-10-14
|
MADISON AVENUE PERIODONTICS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
DR. JOHN LANZETTA |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2019
|
132790915
|
2020-10-15
|
MADISON AVENUE PERIODONTICS, P.C.
|
11
|
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
DR. JOHN LANZETTA |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2019
|
132790915
|
2020-11-19
|
MADISON AVENUE PERIODONTICS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2020-11-19 |
Name of individual signing |
DR. JOHN LANZETTA |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2018
|
132790915
|
2019-10-07
|
MADISON AVENUE PERIODONTICS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2019-10-07 |
Name of individual signing |
DR. JOHN LANZETTA |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2017
|
132790915
|
2018-09-20
|
MADISON AVENUE PERIODONTICS, P.C.
|
12
|
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2018-09-20 |
Name of individual signing |
DR. JOHN LANZETTA |
|
|
MADISON AVENUE PERIODONTICS, P.C. DEFINED BENEFIT PLAN
|
2017
|
132790915
|
2019-10-07
|
MADISON AVENUE PERIODONTICS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2127551144
|
Plan sponsor’s
address |
501 MADISON AVE, 22ND FLOOR, NEW YORK, NY, 100225609
|
Signature of
Role |
Plan administrator |
Date |
2019-10-07 |
Name of individual signing |
DR. JOHN LANZETTA |
|
|