NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2021
|
112966356
|
2022-10-10
|
NORTH SHORE SURGI CENTER INC.
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
JESSICA GROSSARTH |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2020
|
112966356
|
2021-10-25
|
NORTH SHORE SURGI CENTER INC.
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2021-10-25 |
Name of individual signing |
JESSICA GROSSARTH |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2019
|
112966356
|
2020-10-14
|
NORTH SHORE SURGI CENTER INC.
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
JESSICA GROSSARTH |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2018
|
112966356
|
2019-12-09
|
NORTH SHORE SURGI CENTER INC.
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2019-12-09 |
Name of individual signing |
JESSICA GROSSARTH |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2017
|
112966356
|
2019-12-09
|
NORTH SHORE SURGI CENTER INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2019-12-09 |
Name of individual signing |
JESSICA GROSSARTH |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2016
|
112966356
|
2017-05-17
|
NORTH SHORE SURGI CENTER INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2017-05-17 |
Name of individual signing |
GREGG HOPPS |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2015
|
112966356
|
2016-06-01
|
NORTH SHORE SURGI CENTER INC.
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2016-06-01 |
Name of individual signing |
GREGG HOPPS |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2014
|
112966356
|
2015-07-14
|
NORTH SHORE SURGI CENTER INC.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
GREGG HOPPS |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2013
|
112966356
|
2014-06-04
|
NORTH SHORE SURGI CENTER INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2014-06-04 |
Name of individual signing |
GREGG HOPPS |
|
|
NORTH SHORE SURGI CENTER INC. 401(K) PLAN
|
2012
|
112966356
|
2013-07-23
|
NORTH SHORE SURGI CENTER INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
6318647100
|
Plan sponsor’s
address |
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
GREGG HOPPS |
|
|