CORTLAND PATHOLOGY, P. C. 401K PROFIT SHARING PLAN
|
2015
|
161519616
|
2016-06-15
|
CORTLAND PATHOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s
address |
6 COVENTRY WALK, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2016-06-15 |
Name of individual signing |
WILLIAM SHANG |
|
Role |
Employer/plan sponsor |
Date |
2016-06-15 |
Name of individual signing |
WILLIAM SHANG |
|
|
CORTLAND PATHOLOGY, P. C. DEFINED BENEFIT PENSION PLAN
|
2015
|
161519616
|
2016-06-15
|
CORTLAND PATHOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s
address |
6 COVENTRY WALK, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2016-06-15 |
Name of individual signing |
WILLIAM SHANG |
|
Role |
Employer/plan sponsor |
Date |
2016-06-15 |
Name of individual signing |
WILLIAM SHANG |
|
|
CORTLAND PATHOLOGY, P.C. DEFINED BENEFIT PENSION PLAN
|
2014
|
161519616
|
2015-07-22
|
CORTLAND PATHOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s
address |
6 COVENTRY WALK, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
WILLIAM SHANG |
|
Role |
Employer/plan sponsor |
Date |
2015-07-22 |
Name of individual signing |
WILLIAM SHANG |
|
|
CORTLAND PATHOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2014
|
161519616
|
2015-07-22
|
CORTLAND PATHOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s
address |
6 COVENTRY WALK, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
WILLIAM SHANG |
|
Role |
Employer/plan sponsor |
Date |
2015-07-22 |
Name of individual signing |
WILLIAM SHANG |
|
|
CORTLAND PATHOLOGY, P.C. DEFINED BENEFIT PENSION PLAN
|
2013
|
161519616
|
2014-09-11
|
CORTLAND PATHOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s
address |
6 COVENTRY WALK, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2014-09-11 |
Name of individual signing |
WILLIAM SHANG |
|
Role |
Employer/plan sponsor |
Date |
2014-09-11 |
Name of individual signing |
WILLIAM SHANG |
|
|
CORTLAND PATHOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2013
|
161519616
|
2014-09-11
|
CORTLAND PATHOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s
address |
6 COVENTRY WALK, ITHACA, NY, 14850
|
Signature of
Role |
Plan administrator |
Date |
2014-09-11 |
Name of individual signing |
WILLIAM SHANG |
|
Role |
Employer/plan sponsor |
Date |
2014-09-11 |
Name of individual signing |
WILLIAM SHANG |
|
|
CORTLAND PATHOLOGY PC EMPLOYEE PENSION PLAN AND TRUST
|
2012
|
161519616
|
2013-08-13
|
CORTLAND PATHOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s mailing address |
134 HOMER AVE., CORTLAND, NY, 13045
|
Plan sponsor’s
address |
134 HOMER AVE., CORTLAND, NY, 13045
|
Plan administrator’s name and address
Administrator’s EIN |
161519616 |
Plan administrator’s name |
CORTLAND PATHOLOGY, P.C. |
Plan administrator’s
address |
134 HOMER AVE., CORTLAND, NY, 13045 |
Administrator’s telephone number |
6077563621 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-08-13 |
Name of individual signing |
WILLIAM SHANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORTLAND PATHOLOGY PC EMPLOYEE PENSION PLAN AND TRUST
|
2011
|
161519616
|
2012-10-15
|
CORTLAND PATHOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s mailing address |
134 HOMER AVE., CORTLAND, NY, 13045
|
Plan sponsor’s
address |
134 HOMER AVE., CORTLAND, NY, 13045
|
Plan administrator’s name and address
Administrator’s EIN |
161519616 |
Plan administrator’s name |
CORTLAND PATHOLOGY, P.C. |
Plan administrator’s
address |
134 HOMER AVE., CORTLAND, NY, 13045 |
Administrator’s telephone number |
6077563621 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
WILLIAM SHANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORTLAND PATHOLOGY PC EMPLOYEE PENSION PLAN AND TRUST
|
2010
|
161519616
|
2011-11-13
|
CORTLAND PATHOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s mailing address |
134 HOMER AVE., CORTLAND, NY, 13045
|
Plan sponsor’s
address |
134 HOMER AVE., CORTLAND, NY, 13045
|
Plan administrator’s name and address
Administrator’s EIN |
161519616 |
Plan administrator’s name |
CORTLAND PATHOLOGY, P.C. |
Plan administrator’s
address |
134 HOMER AVE., CORTLAND, NY, 13045 |
Administrator’s telephone number |
6077563621 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-11-13 |
Name of individual signing |
WILLIAM SHANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORTLAND PATHOLOGY PC EMPLOYEE PENSION PLAN AND TRUST
|
2009
|
161519616
|
2010-10-18
|
CORTLAND PATHOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6077563621
|
Plan sponsor’s mailing address |
134 HOMER AVE., CORTLAND, NY, 13045
|
Plan sponsor’s
address |
134 HOMER AVE., CORTLAND, NY, 13045
|
Plan administrator’s name and address
Administrator’s EIN |
161519616 |
Plan administrator’s name |
CORTLAND PATHOLOGY, P.C. |
Plan administrator’s
address |
134 HOMER AVE., CORTLAND, NY, 13045 |
Administrator’s telephone number |
6077563621 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-18 |
Name of individual signing |
WILLIAM SHANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|