|
JACK MICHAEL WEBER, D.M.D, P.C. 401(K) PLAN
|
2012
|
161147031
|
2013-09-12
|
JACK MICHAEL WEBER, D.M.D., P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6077231941
|
| Plan sponsor’s mailing address |
78 COURT ST, BINGHAMPTON, NY, 13901
|
| Plan sponsor’s
address |
78 COURT ST, BINGHAMPTON, NY, 13901
|
Plan administrator’s name and address
| Administrator’s EIN |
161147031 |
| Plan administrator’s name |
JACK MICHAEL WEBER, D.M.D., P.C. |
| Plan administrator’s
address |
78 COURT ST, BINGHAMPTON, NY, 13901 |
| Administrator’s telephone number |
6077231941 |
Number of participants as of the end of the plan year
| Active participants |
7 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
6 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-09-12 |
| Name of individual signing |
JACK WEBER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JACK MICHAEL WEBER, D.M.D, P.C. 401(K) PLAN
|
2011
|
161147031
|
2012-07-25
|
JACK MICHAEL WEBER, D.M.D., P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6077231941
|
| Plan sponsor’s mailing address |
78 COURT ST, BINGHAMTON, NY, 13901
|
| Plan sponsor’s
address |
78 COURT ST, BINGHAMTON, NY, 13901
|
Plan administrator’s name and address
| Administrator’s EIN |
161147031 |
| Plan administrator’s name |
JACK MICHAEL WEBER, D.M.D., P.C. |
| Plan administrator’s
address |
78 COURT ST, BINGHAMTON, NY, 13901 |
| Administrator’s telephone number |
6077231941 |
Number of participants as of the end of the plan year
| Active participants |
9 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
6 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-25 |
| Name of individual signing |
JACK WEBER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JACK MICHAEL WEBER, D.M.D, P.C. 401(K) PLAN
|
2010
|
161147031
|
2011-06-22
|
JACK MICHAEL WEBER, D.M.D., P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6077231941
|
| Plan sponsor’s mailing address |
78 COURT ST, BINGHAMTON, NY, 13901
|
| Plan sponsor’s
address |
78 COURT ST, BINGHAMTON, NY, 13901
|
Plan administrator’s name and address
| Administrator’s EIN |
161147031 |
| Plan administrator’s name |
JACK MICHAEL WEBER, D.M.D., P.C. |
| Plan administrator’s
address |
78 COURT ST, BINGHAMTON, NY, 13901 |
| Administrator’s telephone number |
6077231941 |
Number of participants as of the end of the plan year
| Active participants |
9 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
6 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-22 |
| Name of individual signing |
JACK WEBER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JACK MICHAEL WEBER, DMD, PC 401K PLAN
|
2009
|
161147031
|
2010-07-07
|
JACK MICHAEL WEBER, D.M.D., P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6077231941
|
| Plan sponsor’s mailing address |
78 COURT ST, BINGHAMTON, NY, 13901
|
| Plan sponsor’s
address |
78 COURT ST, BINGHAMTON, NY, 13901
|
Plan administrator’s name and address
| Administrator’s EIN |
161147031 |
| Plan administrator’s name |
JACK MICHAEL WEBER, D.M.D., P.C. |
| Plan administrator’s
address |
78 COURT ST, BINGHAMTON, NY, 13901 |
| Administrator’s telephone number |
6077231941 |
Number of participants as of the end of the plan year
| Active participants |
6 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
6 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-07 |
| Name of individual signing |
JACK WEBER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
