ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN & TRUST
|
2012
|
161045884
|
2014-03-20
|
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077337163
|
Plan sponsor’s
address |
440 E. WATER ST., ELMIRA, NY, 149013411
|
Signature of
Role |
Plan administrator |
Date |
2014-03-20 |
Name of individual signing |
RONALD BELLOHUSEN |
|
Role |
Employer/plan sponsor |
Date |
2014-03-20 |
Name of individual signing |
RONALD BELLOHUSEN |
|
|
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C. EMPLOYEES DEFINED BENEFIT PENSION PLAN & TRUST
|
2011
|
161045884
|
2013-03-07
|
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077337163
|
Plan sponsor’s
address |
440 E. WATER ST., ELMIRA, NY, 149013411
|
Plan administrator’s name and address
Administrator’s EIN |
161045884 |
Plan administrator’s name |
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C. |
Plan administrator’s
address |
440 E. WATER ST., ELMIRA, NY, 149013411 |
Administrator’s telephone number |
6077337163 |
Signature of
Role |
Plan administrator |
Date |
2013-03-07 |
Name of individual signing |
RONALD BELLOHUSEN |
|
Role |
Employer/plan sponsor |
Date |
2013-03-07 |
Name of individual signing |
RONALD BELLOHUSEN |
|
|
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C. EMPLOYEES DEFINED BENEFIT PENSION PLAN & TRUST
|
2010
|
161045884
|
2012-03-05
|
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077337163
|
Plan sponsor’s
address |
440 E. WATER ST., ELMIRA, NY, 149013411
|
Plan administrator’s name and address
Administrator’s EIN |
161045884 |
Plan administrator’s name |
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C. |
Plan administrator’s
address |
440 E. WATER ST., ELMIRA, NY, 149013411 |
Administrator’s telephone number |
6077337163 |
Signature of
Role |
Plan administrator |
Date |
2012-03-02 |
Name of individual signing |
RONALD BELLOHUSEN |
|
Role |
Employer/plan sponsor |
Date |
2012-03-02 |
Name of individual signing |
RONALD BELLOHUSEN |
|
|
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C. EMPLOYEES DEFINED BENEFIT PENSION PLAN & TRUST
|
2009
|
161045884
|
2011-02-16
|
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077337163
|
Plan sponsor’s
address |
440 E. WATER ST., ELMIRA, NY, 149013411
|
Plan administrator’s name and address
Administrator’s EIN |
161045884 |
Plan administrator’s name |
ORTHODONTIC ASSOCIATES OF SOUTHERN TIER, P.C. |
Plan administrator’s
address |
440 E. WATER ST., ELMIRA, NY, 149013411 |
Administrator’s telephone number |
6077337163 |
Signature of
Role |
Plan administrator |
Date |
2011-02-11 |
Name of individual signing |
RONALD BELLOHUSEN |
|
Role |
Employer/plan sponsor |
Date |
2011-02-11 |
Name of individual signing |
RONALD BELLOHUSEN |
|
|