DELAWARE SURGICAL GROUP, P.C. 401(K) PLAN
|
2019
|
161453839
|
2020-02-13
|
DELAWARE SURGICAL GROUP, P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7169327391
|
Plan sponsor’s
address |
1150 YOUNGS RD STE 202, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2020-02-12 |
Name of individual signing |
EVAN EVANS |
|
Role |
Employer/plan sponsor |
Date |
2020-02-12 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. 401(K) PLAN
|
2018
|
161453839
|
2019-10-14
|
DELAWARE SURGICAL GROUP, P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7169327391
|
Plan sponsor’s
address |
1150 YOUNGS RD STE 202, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
EVAN EVANS |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. 401(K) PLAN
|
2017
|
161453839
|
2018-09-24
|
DELAWARE SURGICAL GROUP, P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7169327391
|
Plan sponsor’s
address |
1150 YOUNGS RD STE 202, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2018-09-20 |
Name of individual signing |
EVAN EVANS |
|
Role |
Employer/plan sponsor |
Date |
2018-09-20 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN
|
2014
|
161453839
|
2015-12-01
|
DELAWARE SURGICAL GROUP, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-17
|
Business code |
621111
|
Sponsor’s telephone number |
7166369004
|
Plan sponsor’s
address |
1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024
|
Plan administrator’s name and address
Administrator’s EIN |
161453839 |
Plan administrator’s name |
DELAWARE SURGICAL GROUP, P.C. |
Plan administrator’s
address |
1150 YOUNGS ROAD, SUITE 202, AMHERST, NY, 14221 |
Administrator’s telephone number |
7166369004 |
Signature of
Role |
Plan administrator |
Date |
2015-12-01 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN
|
2014
|
161453839
|
2015-06-09
|
DELAWARE SURGICAL GROUP, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-17
|
Business code |
621111
|
Sponsor’s telephone number |
7166369004
|
Plan sponsor’s
address |
1150 YOUNGS ROAD, SUITE 202, AMHERST, NY, 14221
|
Plan administrator’s name and address
Administrator’s EIN |
161453839 |
Plan administrator’s name |
DELAWARE SURGICAL GROUP, P.C. |
Plan administrator’s
address |
1150 YOUNGS ROAD,SUITE 202, AMHERST, NY, 14221 |
Administrator’s telephone number |
7166369004 |
Signature of
Role |
Plan administrator |
Date |
2015-06-09 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN
|
2013
|
161453839
|
2014-06-24
|
DELAWARE SURGICAL GROUP, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-17
|
Business code |
621111
|
Sponsor’s telephone number |
7166369004
|
Plan sponsor’s
address |
1150 YOUNGS ROAD, SUITE 202, AMHERST, NY, 14221
|
Plan administrator’s name and address
Administrator’s EIN |
161453839 |
Plan administrator’s name |
DELAWARE SURGICAL GROUP, P.C. |
Plan administrator’s
address |
1150 YOUNGS ROAD,SUITE 202, AMHERST, NY, 14221 |
Administrator’s telephone number |
7166369004 |
Signature of
Role |
Plan administrator |
Date |
2014-06-24 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN
|
2012
|
161453839
|
2013-08-22
|
DELAWARE SURGICAL GROUP, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-17
|
Business code |
621111
|
Sponsor’s telephone number |
7166369004
|
Plan sponsor’s
address |
1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024
|
Plan administrator’s name and address
Administrator’s EIN |
161453839 |
Plan administrator’s name |
DELAWARE SURGICAL GROUP, P.C. |
Plan administrator’s
address |
1150 YOUNGS ROAD,SUITE 202, WILLIAMSVILLE, NY, 14221 |
Administrator’s telephone number |
7166369004 |
Signature of
Role |
Plan administrator |
Date |
2013-08-22 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN
|
2011
|
161453839
|
2012-04-24
|
DELAWARE SURGICAL GROUP, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-17
|
Business code |
621111
|
Sponsor’s telephone number |
7166369004
|
Plan sponsor’s
address |
1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024
|
Plan administrator’s name and address
Administrator’s EIN |
161453839 |
Plan administrator’s name |
DELAWARE SURGICAL GROUP, P.C. |
Plan administrator’s
address |
1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024 |
Administrator’s telephone number |
7166369004 |
Signature of
Role |
Plan administrator |
Date |
2012-04-24 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN
|
2010
|
161453839
|
2011-04-11
|
DELAWARE SURGICAL GROUP, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-17
|
Business code |
621111
|
Sponsor’s telephone number |
7166369004
|
Plan sponsor’s
address |
1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024
|
Plan administrator’s name and address
Administrator’s EIN |
161453839 |
Plan administrator’s name |
DELAWARE SURGICAL GROUP, P.C. |
Plan administrator’s
address |
1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024 |
Administrator’s telephone number |
7166369004 |
Signature of
Role |
Plan administrator |
Date |
2011-04-11 |
Name of individual signing |
EVAN EVANS |
|
|
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN
|
2009
|
161453839
|
2010-07-13
|
DELAWARE SURGICAL GROUP, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-17
|
Business code |
621111
|
Sponsor’s telephone number |
7166369004
|
Plan sponsor’s
address |
1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024
|
Plan administrator’s name and address
Administrator’s EIN |
161453839 |
Plan administrator’s name |
DELAWARE SURGICAL GROUP, P.C. |
Plan administrator’s
address |
1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024 |
Administrator’s telephone number |
7166369004 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
EVAN EVANS |
|
|