O. GREGORY ZAZULAK, M.D., P.C. DEFINED BENEFIT PLAN
|
2023
|
161503216
|
2024-10-10
|
O. GREGORY ZAZULAK, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD., STE E., ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2024-10-09 |
Name of individual signing |
O. GREGORY ZAZULAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
O. GREGORY ZAZULAK, M.D., P.C. DEFINED BENEFIT PLAN
|
2022
|
161503216
|
2023-10-02
|
O. GREGORY ZAZULAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD., STE E., ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2023-09-30 |
Name of individual signing |
O. GREGORY ZAZULAK |
|
|
O. GREGORY ZAZULAK, M.D., P.C. DEFINED BENEFIT PLAN
|
2021
|
161503216
|
2022-10-03
|
O. GREGORY ZAZULAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD., STE E., ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2022-10-03 |
Name of individual signing |
GREG ZAZULAK |
|
Role |
Employer/plan sponsor |
Date |
2022-10-03 |
Name of individual signing |
GREG ZAZULAK |
|
|
O. GREGORY ZAZULAK, M.D., P.C. DEFINED BENEFIT PLAN
|
2020
|
161503216
|
2021-12-27
|
O. GREGORY ZAZULAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD., STE E., ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2021-12-27 |
Name of individual signing |
O GREGORY ZAZULAK |
|
Role |
Employer/plan sponsor |
Date |
2021-12-27 |
Name of individual signing |
O GREGORY ZAZULAK |
|
|
O. GREGORY ZAZULAK, M.D., P.C. 401(K) PLAN
|
2019
|
161503216
|
2020-06-15
|
O. GREGORY ZAZULAK, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD STE E, ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2020-06-14 |
Name of individual signing |
O. GREGORY ZAZULAK |
|
Role |
Employer/plan sponsor |
Date |
2020-06-14 |
Name of individual signing |
O. GREGORY ZAZULAK |
|
|
O. GREGORY ZAZULAK, M.D., P.C. DEFINED BENEFIT PLAN
|
2019
|
161503216
|
2020-06-15
|
O. GREGORY ZAZULAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD STE E, ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2020-06-14 |
Name of individual signing |
O. GREGORY ZAZULAK |
|
|
O. GREGORY ZAZULAK, M.D., P.C. DEFINED BENEFIT PLAN
|
2018
|
161503216
|
2019-05-31
|
O. GREGORY ZAZULAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD STE E, ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2019-05-30 |
Name of individual signing |
O. GREGORY ZAZULAK |
|
|
O. GREGORY ZAZULAK, M.D., P.C. 401(K) PLAN
|
2018
|
161503216
|
2019-05-31
|
O. GREGORY ZAZULAK, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD STE E, ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2019-05-30 |
Name of individual signing |
O. GREGORY ZAZULAK |
|
|
O. GREGORY ZAZULAK, M.D., P.C. DEFINED BENEFIT PLAN
|
2017
|
161503216
|
2018-04-16
|
O. GREGORY ZAZULAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD STE E, ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2018-04-14 |
Name of individual signing |
O. GREGORY ZAZULAK |
|
|
O. GREGORY ZAZULAK, M.D., P.C. 401(K) PLAN
|
2017
|
161503216
|
2018-04-16
|
O. GREGORY ZAZULAK, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854736700
|
Plan sponsor’s
address |
890 WESTFALL RD STE E, ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2018-04-14 |
Name of individual signing |
O. GREGORY ZAZULAK |
|
|