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| Plan Name | UPSTATE VET DENTAL |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | UPSTATE VETERINARY SPECIALTIES, PLLC |
| Employer identification number (EIN): | 030516276 |
| NAIC Classification: | 541940 |
| NAIC Description: | Veterinary Services |
Additional information about UPSTATE VETERINARY SPECIALTIES, PLLC
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 2003-04-30 |
| Company Identification Number: | 2900844 |
| Legal Registered Office Address: |
152 SPARROWBUSH ROAD Albany LATHAM United States of America (USA) 12110 |
More information about UPSTATE VETERINARY SPECIALTIES, PLLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-06-01 | KRISTIN KESNOWSKI | 2024-10-02 | ||
| 501 | 2022-06-01 | KRISTIN KESNOWSKI | 2023-10-02 | ||
| 501 | 2021-06-01 |
| Measure | Date | Value |
|---|---|---|
| 2023: UPSTATE VET DENTAL 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-06-01 | 117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-06-01 | 144 |
| Number of retired or separated participants receiving benefits | 2023-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-06-01 | 0 |
| Total of all active and inactive participants | 2023-06-01 | 144 |
| Number of employers contributing to the scheme | 2023-06-01 | 0 |
| 2022: UPSTATE VET DENTAL 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-06-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-06-01 | 115 |
| Number of retired or separated participants receiving benefits | 2022-06-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2022-06-01 | 0 |
| Total of all active and inactive participants | 2022-06-01 | 117 |
| Number of employers contributing to the scheme | 2022-06-01 | 0 |
| 2021: UPSTATE VET DENTAL 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-06-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-06-01 | 114 |
| Total of all active and inactive participants | 2021-06-01 | 114 |
| Total participants | 2021-06-01 | 114 |
| 2023: UPSTATE VET DENTAL 2023 form 5500 responses | ||
|---|---|---|
| 2023-06-01 | Type of plan entity | Single employer plan |
| 2023-06-01 | Plan funding arrangement – Insurance | Yes |
| 2023-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: UPSTATE VET DENTAL 2022 form 5500 responses | ||
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: UPSTATE VET DENTAL 2021 form 5500 responses | ||
| 2021-06-01 | Type of plan entity | Single employer plan |
| 2021-06-01 | First time form 5500 has been submitted | Yes |
| 2021-06-01 | Submission has been amended | No |
| 2021-06-01 | This submission is the final filing | No |
| 2021-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-06-01 | Plan is a collectively bargained plan | No |
| 2021-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-06-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 97674-01991 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 97674-01991 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5243 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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