FIRST CARE MEDICAL, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
205063165
|
2023-09-12
|
FIRST CARE MEDICAL, P.C.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Number of participants as of the end of the plan year
Active participants |
28 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
10 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
27 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-09-12 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
205063165
|
2019-07-01
|
FIRST CARE MEDICAL, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
24 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-01 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
205063165
|
2019-06-18
|
FIRST CARE MEDICAL, P.C
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
21 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
205063165
|
2018-06-15
|
FIRST CARE MEDICAL, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
21 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-06-15 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
205063165
|
2018-07-26
|
FIRST CARE MEDICAL, P.C
|
23
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
21 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
204976815
|
2017-06-27
|
FIRST CARE MEDICAL, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Number of participants as of the end of the plan year
Active participants |
22 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
21 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
204976815
|
2016-07-07
|
FIRST CARE MEDICAL, P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 125282524
|
Number of participants as of the end of the plan year
Active participants |
24 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
19 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
204976815
|
2015-05-05
|
FIRST CARE MEDICAL, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 12528
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 12528
|
Number of participants as of the end of the plan year
Active participants |
21 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
13 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-05-05 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C. 401K PROFIT SHARING PLAN AND TRUST
|
2013
|
204976815
|
2014-07-21
|
FIRST CARE MEDICAL, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 12528
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 12528
|
Number of participants as of the end of the plan year
Active participants |
24 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-21 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CARE MEDICAL, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
204976815
|
2013-06-20
|
FIRST CARE MEDICAL, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456913627
|
Plan sponsor’s mailing address |
222 ROUTE 299, HIGHLAND, NY, 12528
|
Plan sponsor’s
address |
222 ROUTE 299, HIGHLAND, NY, 12528
|
Number of participants as of the end of the plan year
Active participants |
24 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
10 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-06-20 |
Name of individual signing |
LUDWIG BACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|