BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
113429874
|
2022-05-10
|
BARRY RUBIN, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2022-05-10 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
113429874
|
2021-05-24
|
BARRY RUBIN, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2021-05-24 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
113429874
|
2020-06-22
|
BARRY RUBIN, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2020-06-22 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
113429874
|
2019-09-17
|
BARRY RUBIN, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
113429874
|
2018-09-20
|
BARRY RUBIN, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2018-09-20 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
113429874
|
2017-09-06
|
BARRY RUBIN, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2017-09-06 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
113429874
|
2016-06-16
|
BARRY RUBIN, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2016-06-16 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
113429874
|
2015-09-22
|
BARRY RUBIN, M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2015-09-22 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
113429874
|
2014-07-08
|
BARRY RUBIN, M.D., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
46 ROUTE 25A, SUITE 4, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
BARRY RUBIN |
|
|
BARRY RUBIN, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
113429874
|
2013-07-24
|
BARRY RUBIN, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312469501
|
Plan sponsor’s
address |
200 N. BELLE MEADE ROAD, EAST SETAUKET, NY, 11733
|
Signature of
Role |
Plan administrator |
Date |
2013-07-24 |
Name of individual signing |
BARRY RUBIN |
|
|