|
COMPLETE DENTAL ALLIANCE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
842481079
|
2024-04-01
|
COMPLETE DENTAL ALLIANCE LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
9547367924
|
| Plan sponsor’s
address |
14575 TAMIAMI TRAIL UNIT A, NORTH PORT, FL, 342872743
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2024-04-01 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES, INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMPLETE DENTAL ALLIANCE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
842481079
|
2023-05-03
|
COMPLETE DENTAL ALLIANCE LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
9547367924
|
| Plan sponsor’s
address |
14575 TAMIAMI TRAIL UNIT A, NORTH PORT, FL, 342872743
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2023-05-03 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES, INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMPLETE DENTAL ALLIANCE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
842481079
|
2022-07-08
|
COMPLETE DENTAL ALLIANCE LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
9547367924
|
| Plan sponsor’s
address |
14575 TAMIAMI TRAIL UNIT A, NORTH PORT, FL, 342872743
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-08 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMPLETE DENTAL ALLIANCE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
842481079
|
2021-04-12
|
COMPLETE DENTAL ALLIANCE LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
9547367924
|
| Plan sponsor’s
address |
14575 TAMIAMI TRL, NORTH PORT, FL, 34287
|
Signature of
| Role |
Plan administrator |
| Date |
2021-04-12 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
