RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFERRED SAVINGS AND PROFIT SHARING PLAN AND TRUST
|
2022
|
161410010
|
2023-10-11
|
RAMA M. GODISHALA M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan
sponsor’s DBA name |
AUBURN CARDIOLOGY ASSOCIATES
|
Plan sponsor’s mailing address |
281 GRANT AVE., AUBURN, NY, 13021
|
Plan sponsor’s
address |
281 GRANT AVENUE, AUBURN, NY, 13021
|
Number of participants as of the end of the plan year
Active participants |
13 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
15 |
Signature of
Role |
Plan administrator |
Date |
2023-10-11 |
Name of individual signing |
GEETHA GODISHALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFERRED SAVINGS AND PROFIT SHARING PLAN AND TRUST
|
2021
|
161410010
|
2022-08-16
|
RAMA M. GODISHALA M.D., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan
sponsor’s DBA name |
AUBURN CARDIOLOGY ASSOCIATES
|
Plan sponsor’s mailing address |
281 GRANT AVE., AUBURN, NY, 13021
|
Plan sponsor’s
address |
281 GRANT AVENUE, AUBURN, NY, 13021
|
Number of participants as of the end of the plan year
Active participants |
12 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2022-08-16 |
Name of individual signing |
GEETHA GODISHALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN
|
2019
|
161410010
|
2020-03-31
|
RAMA M. GODISHALA, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan sponsor’s
address |
281 GRANT AVE., AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2020-03-31 |
Name of individual signing |
RAMA GODISHALA |
|
Role |
Employer/plan sponsor |
Date |
2020-03-31 |
Name of individual signing |
RAMA GODISHALA |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN
|
2019
|
161410010
|
2020-03-31
|
RAMA M. GODISHALA, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan sponsor’s
address |
281 GRANT AVE., AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2020-03-31 |
Name of individual signing |
RAMA GODISHALA |
|
Role |
Employer/plan sponsor |
Date |
2020-03-31 |
Name of individual signing |
RAMA GODISHALA |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN
|
2018
|
161410010
|
2019-04-18
|
RAMA M. GODISHALA, M.D., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan sponsor’s
address |
281 GRANT AVE., AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2019-04-18 |
Name of individual signing |
RAMA GODISHALA |
|
Role |
Employer/plan sponsor |
Date |
2019-04-18 |
Name of individual signing |
RAMA GODISHALA |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN
|
2017
|
161410010
|
2018-04-25
|
RAMA M. GODISHALA, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan sponsor’s
address |
281 GRANT AVE., AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2018-04-25 |
Name of individual signing |
RAMA M GODISHALA |
|
Role |
Employer/plan sponsor |
Date |
2018-04-25 |
Name of individual signing |
RAMA M GODISHALA |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN
|
2016
|
161410010
|
2017-06-14
|
RAMA M. GODISHALA, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan sponsor’s
address |
281 GRANT AVE., AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2017-06-14 |
Name of individual signing |
RAMA M GODISHALA |
|
Role |
Employer/plan sponsor |
Date |
2017-06-14 |
Name of individual signing |
RAMA M GODISHALA |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN
|
2015
|
161410010
|
2016-03-04
|
RAMA M. GODISHALA, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan sponsor’s
address |
281 GRANT AVE., AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2016-02-25 |
Name of individual signing |
RAMA GODISHALA |
|
Role |
Employer/plan sponsor |
Date |
2016-02-25 |
Name of individual signing |
RAMA GODISHALA |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN
|
2014
|
161410010
|
2015-03-25
|
RAMA M. GODISHALA, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan sponsor’s
address |
281 GRANT AVE., AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2015-03-24 |
Name of individual signing |
RAMA GODISHALA |
|
Role |
Employer/plan sponsor |
Date |
2015-03-24 |
Name of individual signing |
RAMA GODISHALA |
|
|
RAMA M. GODISHALA, M.D., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN
|
2013
|
161410010
|
2014-03-28
|
RAMA M. GODISHALA, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3152534459
|
Plan sponsor’s
address |
281 GRANT AVE., AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
RAMA GODISHALA |
|
Role |
Employer/plan sponsor |
Date |
2014-03-27 |
Name of individual signing |
RAMA GODISHALA |
|
|