THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2023
|
113095875
|
2024-10-09
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
THOMAS DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-08 |
Name of individual signing |
THOMAS DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2022
|
113095875
|
2023-09-11
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2023-09-11 |
Name of individual signing |
THOMAS DOWLING |
|
Role |
Employer/plan sponsor |
Date |
2023-09-11 |
Name of individual signing |
THOMAS DOWLING |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
113095875
|
2022-10-15
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
THOMAS DOWLING |
|
Role |
Employer/plan sponsor |
Date |
2022-10-14 |
Name of individual signing |
THOMAS DOWLING |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
113095875
|
2021-10-08
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2021-10-07 |
Name of individual signing |
THOMAS DOWLING |
|
Role |
Employer/plan sponsor |
Date |
2021-10-07 |
Name of individual signing |
THOMAS DOWLING |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
113095875
|
2020-10-15
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
THOMAS DOWLING MD |
|
Role |
Employer/plan sponsor |
Date |
2020-10-15 |
Name of individual signing |
THOMAS DOWLING MD |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
113095875
|
2019-10-14
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
THOMAS DOWLING |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
THOMAS DOWLING |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
113095875
|
2018-10-14
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2018-10-14 |
Name of individual signing |
THOMAS DOWLING MD |
|
Role |
Employer/plan sponsor |
Date |
2018-10-14 |
Name of individual signing |
THOMAS DOWLING MD |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
113095875
|
2017-10-14
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
THOMAS DOWLING MD |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
THOMAS DOWLING MD |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
113095875
|
2016-10-13
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
THOMAS DOWLING |
|
Role |
Employer/plan sponsor |
Date |
2016-10-13 |
Name of individual signing |
THOMAS DOWLING |
|
|
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
113095875
|
2015-10-06
|
LONG ISLAND SPINE SPECIALISTS, P.C.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-09-15
|
Business code |
621111
|
Sponsor’s telephone number |
6314622225
|
Plan sponsor’s
address |
763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
THOMAS DOWLING |
|
Role |
Employer/plan sponsor |
Date |
2015-10-05 |
Name of individual signing |
THOMAS DOWLING |
|
|