LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN
|
2011
|
141757154
|
2012-11-07
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185632404
|
Plan sponsor’s
address |
214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901
|
Plan administrator’s name and address
Administrator’s EIN |
141757154 |
Plan administrator’s name |
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP |
Plan administrator’s
address |
214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901 |
Administrator’s telephone number |
5185632404 |
Signature of
Role |
Plan administrator |
Date |
2012-11-07 |
Name of individual signing |
JOEL WOLKOWICZ |
|
Role |
Employer/plan sponsor |
Date |
2012-11-07 |
Name of individual signing |
JOEL WOLKOWICZ |
|
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN
|
2011
|
141757154
|
2012-09-06
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185632404
|
Plan sponsor’s
address |
214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901
|
Plan administrator’s name and address
Administrator’s EIN |
141757154 |
Plan administrator’s name |
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP |
Plan administrator’s
address |
214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901 |
Administrator’s telephone number |
5185632404 |
Signature of
Role |
Plan administrator |
Date |
2012-09-06 |
Name of individual signing |
JOEL WOLKOWICZ, MD |
|
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN
|
2010
|
141757154
|
2011-09-21
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185632404
|
Plan sponsor’s
address |
214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901
|
Plan administrator’s name and address
Administrator’s EIN |
141757154 |
Plan administrator’s name |
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP |
Plan administrator’s
address |
214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901 |
Administrator’s telephone number |
5185632404 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
JOEL WOLKOWICZ, MD |
|
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN
|
2009
|
141757154
|
2010-07-12
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
|
33
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185632404
|
Plan sponsor’s
address |
52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
|
Plan administrator’s name and address
Administrator’s EIN |
141757154 |
Plan administrator’s name |
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP |
Plan administrator’s
address |
52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901 |
Administrator’s telephone number |
5185632404 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-12 |
Name of individual signing |
JOEL WOLKOWICZ, MD |
|
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN
|
2009
|
141757154
|
2010-07-13
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185632404
|
Plan sponsor’s
address |
52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
|
Plan administrator’s name and address
Administrator’s EIN |
141757154 |
Plan administrator’s name |
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP |
Plan administrator’s
address |
52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901 |
Administrator’s telephone number |
5185632404 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
JOEL WOLKOWICZ MD |
|
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN
|
2009
|
141757154
|
2010-07-13
|
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
|
33
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185632404
|
Plan sponsor’s
address |
52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
|
Plan administrator’s name and address
Administrator’s EIN |
141757154 |
Plan administrator’s name |
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP |
Plan administrator’s
address |
52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901 |
Administrator’s telephone number |
5185632404 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
JOEL WOLKOWICZ MD |
|
|