WESTCHESTER ANESTHESIOLOGISTS, P.C. CASH BALANCE PENSION TRUST
|
2016
|
133997445
|
2017-07-24
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Signature of
Role |
Plan administrator |
Date |
2017-07-24 |
Name of individual signing |
DAVID M. ROTH, MD |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P.C. CASH BALANCE PENSION TRUST
|
2015
|
133997445
|
2016-07-08
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Signature of
Role |
Plan administrator |
Date |
2016-07-08 |
Name of individual signing |
DAVID M. ROTH, MD |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P.C. CASH BALANCE PENSION TRUST
|
2014
|
133997445
|
2015-07-08
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
DAVID M. ROTH, MD |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P.C. CASH BALANCE PENSION TRUST
|
2013
|
133997445
|
2014-10-13
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
DAVID M. ROTH, MD |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P. C. INCENTIVE SAVINGS TRUST
|
2012
|
133997445
|
2013-10-11
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s mailing address |
800 WESTCHESTER AVE, SUITE N-511, RYE BROOK, NY, 10573
|
Plan sponsor’s
address |
800 WESTCHESTER AVE, SUITE N-511, RYE BROOK, NY, 10573
|
Plan administrator’s name and address
Administrator’s EIN |
133997445 |
Plan administrator’s name |
WESTCHESTER ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
800 WESTCHESTER AVE, SUITE N-511, RYE BROOK, NY, 10573 |
Administrator’s telephone number |
9144285454 |
Number of participants as of the end of the plan year
Active participants |
55 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
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 |
57 |
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 |
2013-10-11 |
Name of individual signing |
DAVID ROTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
DAVID ROTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P.C. CASH BALANCE PENSION TRUST
|
2012
|
133997445
|
2013-07-22
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
DAVID M. ROTH, MD |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P.C. INCENTIVE SAVINGS TRUST
|
2011
|
133997445
|
2012-05-30
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Plan administrator’s name and address
Administrator’s EIN |
133997445 |
Plan administrator’s name |
WESTCHESTER ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573 |
Administrator’s telephone number |
9144285454 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
DAVID ROTH |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P.C. CASH BALANCE PENSION TRUST
|
2011
|
133997445
|
2012-10-15
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Plan administrator’s name and address
Administrator’s EIN |
133997445 |
Plan administrator’s name |
WESTCHESTER ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573 |
Administrator’s telephone number |
9144285454 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DAVID M. ROTH, MD |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P.C. INCENTIVE SAVINGS TRUST
|
2010
|
133997445
|
2011-10-12
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Plan administrator’s name and address
Administrator’s EIN |
133997445 |
Plan administrator’s name |
WESTCHESTER ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573 |
Administrator’s telephone number |
9144285454 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
DAVID ROTH |
|
|
WESTCHESTER ANESTHESIOLOGISTS, P.C. CASH BALANCE PENSION TRUST
|
2010
|
133997445
|
2011-10-04
|
WESTCHESTER ANESTHESIOLOGISTS, P.C.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9144285454
|
Plan sponsor’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573
|
Plan administrator’s name and address
Administrator’s EIN |
133997445 |
Plan administrator’s name |
WESTCHESTER ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
800 WESTCHESTER AVENUE, RYE BROOK, NY, 10573 |
Administrator’s telephone number |
9144285454 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
DAVID M. ROTH, MD |
|
|