NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2015
|
113088910
|
2016-10-04
|
NORTH SHORE PULMONARY ASSOCIATES, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163288700
|
Plan sponsor’s
address |
6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
|
|
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2015
|
113088910
|
2016-02-26
|
NORTH SHORE PULMONARY ASSOCIATES, P.C.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163288700
|
Plan sponsor’s
address |
6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
|
|
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2014
|
113088910
|
2015-07-09
|
NORTH SHORE PULMONARY ASSOCIATES, P.C.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163288700
|
Plan sponsor’s
address |
6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
|
|
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2014
|
113088910
|
2015-05-21
|
NORTH SHORE PULMONARY ASSOCIATES, P.C.
|
46
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163288700
|
Plan sponsor’s
address |
6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
|
|
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2013
|
113088910
|
2014-08-22
|
NORTH SHORE PULMONARY ASSOCIATES, P.C.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163288700
|
Plan sponsor’s
address |
6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
|
|
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2012
|
113088910
|
2013-07-08
|
NORTH SHORE PULMONARY ASSOCIATES, P.C.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163288700
|
Plan sponsor’s
address |
6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
|
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
DAVID BREIDBART, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2013-07-08 |
Name of individual signing |
DAVID BREIDBART, M.D. |
|
|
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2011
|
113088910
|
2012-06-01
|
NORTH SHORE PULMONARY ASSOCIATES, P.C.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163288700
|
Plan sponsor’s
address |
6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
113088910 |
Plan administrator’s name |
NORTH SHORE PULMONARY ASSOCIATES, P.C. |
Plan administrator’s
address |
6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042 |
Administrator’s telephone number |
5163288700 |
Signature of
Role |
Plan administrator |
Date |
2012-06-01 |
Name of individual signing |
DAVID BREIDBART, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2012-06-01 |
Name of individual signing |
DAVID BREIDBART, M.D. |
|
|