DUTHIE ORTHODONTICS, PLLC 401(K) PLAN
|
2021
|
455121075
|
2022-10-31
|
DUTHIE ORTHODONTICS, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6073194545
|
Plan sponsor’s
address |
2 GRAHAM ROAD WEST, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2022-10-31 |
Name of individual signing |
TINA BRICKEY |
|
|
DUTHIE ORTHODONTICS, PLLC 401(K) PLAN
|
2021
|
455121075
|
2022-03-16
|
DUTHIE ORTHODONTICS, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6073194545
|
Plan sponsor’s
address |
2 GRAHAM ROAD WEST, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2022-03-16 |
Name of individual signing |
TINA BRICKEY |
|
|
DUTHIE ORTHODONTICS, PLLC 401(K) PLAN
|
2020
|
455121075
|
2021-07-13
|
DUTHIE ORTHODONTICS, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6073194545
|
Plan sponsor’s
address |
2 GRAHAM ROAD WEST, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
TINA BRICKEY |
|
|
DUTHIE ORTHODONTICS, PLLC 401(K) PLAN
|
2019
|
455121075
|
2020-08-11
|
DUTHIE ORTHODONTICS, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6073194545
|
Plan sponsor’s
address |
2 GRAHAM ROAD WEST, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2020-08-11 |
Name of individual signing |
JOHN DUTHIE |
|
|
DUTHIE ORTHODONTICS, PLLC 401(K) PLAN
|
2018
|
455121075
|
2019-07-29
|
DUTHIE ORTHODONTICS, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6073194545
|
Plan sponsor’s
address |
2 GRAHAM ROAD WEST, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
JOHN DUTHIE |
|
|
DUTHIE ORTHODONTICS, PLLC 401(K) PLAN
|
2017
|
455121075
|
2018-07-18
|
DUTHIE ORTHODONTICS, PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6073194545
|
Plan sponsor’s
address |
2 GRAHAM ROAD WEST, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
JOHN DUTHIE |
|
|
TRI-STATE RETIREMENT PLAN EXCHANGE 401(K) PLAN
|
2016
|
455121075
|
2017-06-19
|
DUTHIE ORTHODONTICS PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6073194545
|
Plan sponsor’s
address |
2 GRAHAM ROAD WEST, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2017-06-19 |
Name of individual signing |
JOANNE PAGLIARO |
|
Role |
Employer/plan sponsor |
Date |
2017-06-19 |
Name of individual signing |
JOANNE PAGLIARO |
|
|