KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2023
|
161490418
|
2024-05-15
|
KENMORE FAMILY MEDICINE, LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2024-05-15 |
Name of individual signing |
LISA MENDONZA |
|
Role |
Employer/plan sponsor |
Date |
2024-05-15 |
Name of individual signing |
LISA MENDONZA |
|
|
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2022
|
161490418
|
2023-07-24
|
KENMORE FAMILY MEDICINE, LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2023-07-20 |
Name of individual signing |
LISA MENDONZA MD |
|
Role |
Employer/plan sponsor |
Date |
2023-07-20 |
Name of individual signing |
LISA MENDONZA MD |
|
|
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2021
|
161490418
|
2022-07-18
|
KENMORE FAMILY MEDICINE, LLP
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
LISA M MENDONZA |
|
Role |
Employer/plan sponsor |
Date |
2022-07-18 |
Name of individual signing |
LISA M MENDONZA |
|
|
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2020
|
161490418
|
2021-07-09
|
KENMORE FAMILY MEDICINE, LLP
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2021-07-09 |
Name of individual signing |
LISA MENDONZA MD |
|
Role |
Employer/plan sponsor |
Date |
2021-07-09 |
Name of individual signing |
LISA MENDONZA MD |
|
|
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2019
|
161490418
|
2020-07-28
|
KENMORE FAMILY MEDICINE, LLP
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DAVID SILVERSTEIN |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
DAVID SILVERSTEIN |
|
|
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2018
|
161490418
|
2019-07-29
|
KENMORE FAMILY MEDICINE, LLP
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
DAVID SILVERSTEIN |
|
Role |
Employer/plan sponsor |
Date |
2019-07-29 |
Name of individual signing |
DAVID SILVERSTEIN |
|
|
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2017
|
161490418
|
2018-06-29
|
KENMORE FAMILY MEDICINE, LLP
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2018-06-29 |
Name of individual signing |
DAVID SILVERSTEIN |
|
Role |
Employer/plan sponsor |
Date |
2018-06-29 |
Name of individual signing |
DAVID SILVERSTEIN |
|
|
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2016
|
161490418
|
2017-07-25
|
KENMORE FAMILY MEDICINE, LLP
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
DAVID SILVERSTEIN |
|
Role |
Employer/plan sponsor |
Date |
2017-07-25 |
Name of individual signing |
DAVID SILVERSTEIN |
|
|
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN
|
2015
|
161490418
|
2016-09-21
|
KENMORE FAMILY MEDICINE, LLP
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168756700
|
Plan sponsor’s
address |
2914 ELMWOOD AVENUE, KENMORE, NY, 14217
|
Signature of
Role |
Plan administrator |
Date |
2016-09-21 |
Name of individual signing |
DAVID SILVERSTEIN |
|
Role |
Employer/plan sponsor |
Date |
2016-09-21 |
Name of individual signing |
DAVID SILVERSTEIN |
|
|