MANHASSET MEDICAL ASSOCIATES, P.C.
|
2014
|
113453172
|
2015-10-03
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030
|
Signature of
Role |
Plan administrator |
Date |
2015-10-03 |
Name of individual signing |
NANCY NICOSIA |
|
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
2013
|
113453172
|
2014-10-15
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
STEPHEN TRANCHINA |
|
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
2012
|
113453172
|
2013-05-28
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030
|
Plan administrator’s name and address
Administrator’s EIN |
113453172 |
Plan administrator’s name |
MANHASSET MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030 |
Administrator’s telephone number |
5166279355 |
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
THOMAS NICOSIA |
|
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
2011
|
113453172
|
2012-09-26
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030
|
Plan administrator’s name and address
Administrator’s EIN |
113453172 |
Plan administrator’s name |
MANHASSET MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030 |
Administrator’s telephone number |
5166279355 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
THOMAS NICOSIA |
|
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
2010
|
113453172
|
2011-09-14
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030
|
Plan administrator’s name and address
Administrator’s EIN |
113453172 |
Plan administrator’s name |
MANHASSET MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030 |
Administrator’s telephone number |
5166279355 |
Signature of
Role |
Plan administrator |
Date |
2011-09-14 |
Name of individual signing |
THOMAS NICOSIA |
|
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
2009
|
113453172
|
2011-02-02
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030
|
Plan administrator’s name and address
Administrator’s EIN |
113453172 |
Plan administrator’s name |
MANHASSET MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1615 NORTHERN BLVD., MANHASSET, NY, 11030 |
Signature of
Role |
Plan administrator |
Date |
2011-02-02 |
Name of individual signing |
THOMAS NICOSIA |
|
|
MANHASSET MEDICAL ASSOCIATES, P.C. RETIREMENT PLAN AND TRUST
|
2009
|
113453172
|
2010-10-15
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD, MANHASSET, NY, 110303033
|
Plan administrator’s name and address
Administrator’s EIN |
113453172 |
Plan administrator’s name |
MANHASSET MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1615 NORTHERN BLVD, MANHASSET, NY, 110303033 |
Administrator’s telephone number |
5166279355 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
THOMAS A. NICOSIA, M.D. |
|
|
MANHASSET MEDICAL ASSOCIATES, P.C. RETIREMENT PLAN AND TRUST
|
2009
|
113453172
|
2010-10-14
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
32
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD, MANHASSET, NY, 110303033
|
Plan administrator’s name and address
Administrator’s EIN |
113453172 |
Plan administrator’s name |
MANHASSET MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1615 NORTHERN BLVD, MANHASSET, NY, 110303033 |
Administrator’s telephone number |
5166279355 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
THOMAS A. NICOSIA, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
THOMAS A. NICOSIA, M.D. |
|
|
MANHASSET MEDICAL ASSOCIATES, P.C. RETIREMENT PLAN AND TRUST
|
2009
|
113453172
|
2010-10-14
|
MANHASSET MEDICAL ASSOCIATES, P.C.
|
32
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5166279355
|
Plan sponsor’s
address |
1615 NORTHERN BLVD, MANHASSET, NY, 110303033
|
Plan administrator’s name and address
Administrator’s EIN |
113453172 |
Plan administrator’s name |
MANHASSET MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1615 NORTHERN BLVD, MANHASSET, NY, 110303033 |
Administrator’s telephone number |
5166279355 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
THOMAS A. NICOSIA, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
THOMAS A. NICOSIA, M.D. |
|
|