RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2023
|
132913118
|
2024-12-11
|
RONALD G. BACKMAN, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2024-12-11 |
Name of individual signing |
RONALD BACKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2022
|
132913118
|
2023-11-29
|
RONALD G. BACKMAN, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2023-11-29 |
Name of individual signing |
RONALD BACKMAN |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2021
|
132913118
|
2022-11-09
|
RONALD G. BACKMAN, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2022-11-09 |
Name of individual signing |
RONALD BACKMAN |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2020
|
132913118
|
2021-12-22
|
RONALD G. BACKMAN, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2021-12-22 |
Name of individual signing |
RONALD BACKMAN |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2019
|
132913118
|
2020-12-22
|
RONALD G. BACKMAN, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2020-12-22 |
Name of individual signing |
RONALD BACKMAN |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2018
|
132913118
|
2019-12-18
|
RONALD G. BACKMAN, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2019-12-18 |
Name of individual signing |
RONALD BACKMAN |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2017
|
132913118
|
2018-12-20
|
RONALD G. BACKMAN, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2018-12-20 |
Name of individual signing |
RONALD BACKMAN |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2016
|
132913118
|
2018-01-15
|
RONALD G. BACKMAN, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2018-01-12 |
Name of individual signing |
RONALD BACKMAN |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2015
|
132913118
|
2017-01-16
|
RONALD G. BACKMAN, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Signature of
Role |
Plan administrator |
Date |
2017-01-13 |
Name of individual signing |
RONALD BACKMAN |
|
|
RONALD G. BACKMAN, D.D.S. PENSION PLAN
|
2014
|
132913118
|
2015-12-21
|
RONALD G. BACKMAN, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8457352273
|
Plan sponsor’s
address |
71 EAST CENTRAL AVENUE, PEARL RIVER, NY, 109652306
|
Plan administrator’s name and address
Administrator’s EIN |
132913118 |
Plan administrator’s name |
RONALD G. BACKMAN, D.D.S., P.C. |
Plan administrator’s
address |
LINE1, NYC, NY, 10010 |
Administrator’s telephone number |
8457352273 |
Signature of
Role |
Plan administrator |
Date |
2015-12-18 |
Name of individual signing |
RONALD BACKMAN |
|
|