PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2020
|
141578040
|
2021-08-02
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Signature of
Role |
Plan administrator |
Date |
2021-08-02 |
Name of individual signing |
CARL ERN |
|
Role |
Employer/plan sponsor |
Date |
2021-08-02 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2019
|
141578040
|
2020-10-15
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
CARL ERN |
|
Role |
Employer/plan sponsor |
Date |
2020-10-15 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2018
|
141578040
|
2019-10-15
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2017
|
141578040
|
2018-09-28
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Signature of
Role |
Plan administrator |
Date |
2018-09-28 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2016
|
141578040
|
2017-10-13
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2015
|
141578040
|
2016-10-11
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2014
|
141578040
|
2015-10-09
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2013
|
141578040
|
2014-04-02
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Signature of
Role |
Plan administrator |
Date |
2014-04-02 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2012
|
141578040
|
2013-07-23
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Plan administrator’s name and address
Administrator’s EIN |
141578040 |
Plan administrator’s name |
PUTNAM DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
CARL ERN, 2435 ROUTE 6, BREWSTER, NY, 105092537 |
Administrator’s telephone number |
8452793720 |
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
CARL ERN |
|
|
PUTNAM DENTAL ASSOCIATES, P.C. RETIREMENT PLAN
|
2011
|
141578040
|
2012-07-06
|
PUTNAM DENTAL ASSOCIATES, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8452793720
|
Plan sponsor’s
address |
2435 ROUTE 6, BREWSTER, NY, 105092537
|
Plan administrator’s name and address
Administrator’s EIN |
141578040 |
Plan administrator’s name |
PUTNAM DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
CARL ERN, 2435 ROUTE 6, BREWSTER, NY, 105092537 |
Administrator’s telephone number |
8452793720 |
Signature of
Role |
Plan administrator |
Date |
2012-07-06 |
Name of individual signing |
CARL ERN |
|
|