AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2020
|
222654098
|
2021-10-10
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2021-10-09 |
Name of individual signing |
KEVIN KLEPPER |
|
Role |
Employer/plan sponsor |
Date |
2021-10-09 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2019
|
222654098
|
2020-10-07
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2020-10-07 |
Name of individual signing |
KEVIN KLEPPER |
|
Role |
Employer/plan sponsor |
Date |
2020-10-07 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2018
|
222654098
|
2019-09-23
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2019-09-23 |
Name of individual signing |
KEVIN KLEPPER |
|
Role |
Employer/plan sponsor |
Date |
2019-09-23 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2017
|
222654098
|
2018-10-05
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2018-10-05 |
Name of individual signing |
KEVIN KLEPPER |
|
Role |
Employer/plan sponsor |
Date |
2018-10-05 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2016
|
222654098
|
2017-10-13
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
KEVIN KLEPPER |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2015
|
222654098
|
2016-10-15
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2016-10-15 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2014
|
222654098
|
2015-10-06
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2015-10-06 |
Name of individual signing |
KEVIN KLEPPER |
|
Role |
Employer/plan sponsor |
Date |
2015-10-06 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2013
|
222654098
|
2014-10-08
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2014-10-08 |
Name of individual signing |
KEVIN KLEPPER |
|
Role |
Employer/plan sponsor |
Date |
2014-10-08 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2012
|
222654098
|
2013-10-10
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
P.O. BOX 970, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
KEVIN KLEPPER |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
KEVIN KLEPPER |
|
|
AMERICAN DOCTORS FINANCIAL GROUP, INC. PROFIT SHARING PLAN
|
2011
|
222654098
|
2012-10-15
|
AMERICAN DOCTORS FINANCIAL GROUP, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
522291
|
Sponsor’s telephone number |
6317249600
|
Plan sponsor’s
address |
180 EAST MAIN STREET, SMITHTOWN, NY, 11787
|
Plan administrator’s name and address
Administrator’s EIN |
222654098 |
Plan administrator’s name |
AMERICAN DOCTORS FINANCIAL GROUP, INC. |
Plan administrator’s
address |
180 EAST MAIN STREET, SMITHTOWN, NY, 11787 |
Administrator’s telephone number |
6317249600 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
KEVIN KLEPPER |
|
|