MEDICAL PRACTICE EXECUTIVE CASH BALANCE PLAN
|
2021
|
113211425
|
2022-11-15
|
ADVANCED DERMATOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2022-11-15 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE CASH BALANCE PLAN
|
2021
|
113211425
|
2022-08-14
|
ADVANCED DERMATOLOGY, P.C.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2022-08-14 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE CASH BALANCE PLAN
|
2020
|
113211425
|
2021-10-11
|
ADVANCED DERMATOLOGY, P.C.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE INCENTIVE PLAN
|
2019
|
113211425
|
2020-10-05
|
ADVANCED DERMATOLOGY, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE CASH BALANCE PLAN
|
2019
|
113211425
|
2020-10-05
|
ADVANCED DERMATOLOGY, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE INCENTIVE PLAN
|
2018
|
113211425
|
2019-09-29
|
ADVANCED DERMATOLOGY, P.C.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2019-09-29 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE INCENTIVE PLAN
|
2017
|
113211425
|
2018-06-29
|
ADVANCED DERMATOLOGY, P.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2018-06-29 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE INCENTIVE PLAN
|
2016
|
113211425
|
2017-09-18
|
ADVANCED DERMATOLOGY, P.C.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2017-09-18 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE INCENTIVE PLAN
|
2015
|
113211425
|
2016-07-25
|
ADVANCED DERMATOLOGY, P.C.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|
MEDICAL PRACTICE EXECUTIVE INCENTIVE PLAN
|
2014
|
113211425
|
2015-07-16
|
ADVANCED DERMATOLOGY, P.C.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166256222
|
Plan sponsor’s
address |
6 LOWELL AVENUE, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2015-07-16 |
Name of individual signing |
JOSHUA L. FOX, M.D. |
|
|