CAPIZZI & LEE RETIREMENT PLAN
|
2012
|
112626651
|
2013-10-10
|
ANTHONY CAPIZZI, M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6316693700
|
Plan sponsor’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
ANTHONY CAPIZZI |
|
|
CAPIZZI, LEE & DURANTE 401(K) PLAN
|
2012
|
112626651
|
2013-10-10
|
ANTHONY CAPIZZI, M.D., P.C.
|
13
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6316693700
|
Plan sponsor’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
ANTHONY CAPIZZI |
|
|
CAPIZZI & LEE RETIREMENT PLAN
|
2011
|
112626651
|
2012-10-10
|
ANTHONY CAPIZZI, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6316693700
|
Plan sponsor’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
|
Plan administrator’s name and address
Administrator’s EIN |
112626651 |
Plan administrator’s name |
ANTHONY CAPIZZI, M.D., P.C. |
Plan administrator’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795 |
Administrator’s telephone number |
6316693700 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
ANTHONY CAPIZZI |
|
|
CAPIZZI, LEE & DURANTE 401(K) PLAN
|
2011
|
112626651
|
2012-10-10
|
ANTHONY CAPIZZI, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6316693700
|
Plan sponsor’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
|
Plan administrator’s name and address
Administrator’s EIN |
112626651 |
Plan administrator’s name |
ANTHONY CAPIZZI, M.D., P.C. |
Plan administrator’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795 |
Administrator’s telephone number |
6316693700 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
ANTHONY CAPIZZI |
|
|
CAPIZZI, LEE & DURANTE 401(K) PLAN
|
2010
|
112626651
|
2011-10-12
|
ANTHONY CAPIZZI, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6316693700
|
Plan sponsor’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
|
Plan administrator’s name and address
Administrator’s EIN |
112626651 |
Plan administrator’s name |
ANTHONY CAPIZZI, M.D., P.C. |
Plan administrator’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795 |
Administrator’s telephone number |
6316693700 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
ANTHONY CAPIZZI |
|
|
CAPIZZI & LEE RETIREMENT PLAN
|
2010
|
112626651
|
2011-10-12
|
ANTHONY CAPIZZI, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6316693700
|
Plan sponsor’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
|
Plan administrator’s name and address
Administrator’s EIN |
112626651 |
Plan administrator’s name |
ANTHONY CAPIZZI, M.D., P.C. |
Plan administrator’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795 |
Administrator’s telephone number |
6316693700 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
ANTHONY CAPIZZI |
|
|
CAPIZZI LEE & DURANTE RETIREMENT PLAN
|
2009
|
112626651
|
2010-10-14
|
ANTHONY CAPIZZI, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6316693700
|
Plan sponsor’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
|
Plan administrator’s name and address
Administrator’s EIN |
112626651 |
Plan administrator’s name |
ANTHONY CAPIZZI, M.D., P.C. |
Plan administrator’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795 |
Administrator’s telephone number |
6316693700 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
ANTHONY CAPIZZI |
|
|
CAPIZZI, LEE & DURANTE 401(K) PLAN
|
2009
|
112626651
|
2010-10-14
|
ANTHONY CAPIZZI, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6316693700
|
Plan sponsor’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
|
Plan administrator’s name and address
Administrator’s EIN |
112626651 |
Plan administrator’s name |
ANTHONY CAPIZZI, M.D., P.C. |
Plan administrator’s
address |
786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795 |
Administrator’s telephone number |
6316693700 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
ANTHONY CAPIZZI |
|
|