NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2017
|
141490932
|
2018-03-14
|
NICHOLS OXYGEN SERVICE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2018-03-14 |
Name of individual signing |
RAYMOND NICHOLS |
|
Role |
Employer/plan sponsor |
Date |
2018-03-14 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2016
|
141490932
|
2018-03-14
|
NICHOLS OXYGEN SERVICE, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2018-03-14 |
Name of individual signing |
RAYMOND NICHOLS |
|
Role |
Employer/plan sponsor |
Date |
2018-03-14 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2015
|
141490932
|
2017-01-12
|
NICHOLS OXYGEN SERVICE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2017-01-12 |
Name of individual signing |
RAYMOND NICHOLS |
|
Role |
Employer/plan sponsor |
Date |
2017-01-12 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2014
|
141490932
|
2015-12-03
|
NICHOLS OXYGEN SERVICE, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538
|
Signature of
Role |
Plan administrator |
Date |
2015-12-03 |
Name of individual signing |
RAYMOND NICHOLS |
|
Role |
Employer/plan sponsor |
Date |
2015-12-03 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2013
|
141490932
|
2015-02-12
|
NICHOLS OXYGEN SERVICE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
1564 ROUTE 9G, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2015-02-12 |
Name of individual signing |
RAYMOND NICHOLS |
|
Role |
Employer/plan sponsor |
Date |
2015-02-12 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2012
|
141490932
|
2014-02-24
|
NICHOLS OXYGEN SERVICE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2014-02-24 |
Name of individual signing |
RAYMOND NICHOLS |
|
Role |
Employer/plan sponsor |
Date |
2014-02-24 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2011
|
141490932
|
2013-03-06
|
NICHOLS OXYGEN SERVICE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2013-03-06 |
Name of individual signing |
RAYMOND NICHOLS |
|
Role |
Employer/plan sponsor |
Date |
2013-03-06 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2010
|
141490932
|
2012-02-13
|
NICHOLS OXYGEN SERVICE, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2012-02-13 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2010
|
141490932
|
2012-02-13
|
NICHOLS OXYGEN SERVICE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2012-02-13 |
Name of individual signing |
RAYMOND NICHOLS |
|
|
NICHOLS OXYGEN SERVICE, INC. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST
|
2009
|
141490932
|
2011-04-25
|
NICHOLS OXYGEN SERVICE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
453990
|
Sponsor’s telephone number |
8452296041
|
Plan sponsor’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538
|
Plan administrator’s name and address
Administrator’s EIN |
141490932 |
Plan administrator’s name |
NICHOLS OXYGEN SERVICE, INC. |
Plan administrator’s
address |
P.O. BOX 651, HYDE PARK, NY, 12538 |
Administrator’s telephone number |
8452296041 |
Signature of
Role |
Plan administrator |
Date |
2011-04-25 |
Name of individual signing |
RAYMOND NICHOLS |
|
Role |
Employer/plan sponsor |
Date |
2011-04-25 |
Name of individual signing |
RAYMOND NICHOLS |
|
|