JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2022
|
161427271
|
2023-10-09
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
MARLENE S SWAN |
|
Role |
Employer/plan sponsor |
Date |
2023-10-09 |
Name of individual signing |
MARLENE S SWAN |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2021
|
161427271
|
2022-06-14
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2022-06-14 |
Name of individual signing |
LYNN DUNHAM |
|
Role |
Employer/plan sponsor |
Date |
2022-06-14 |
Name of individual signing |
MARLENE SWAN |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2020
|
161427271
|
2021-09-07
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2021-09-07 |
Name of individual signing |
LYNN DUNHAM |
|
Role |
Employer/plan sponsor |
Date |
2021-09-07 |
Name of individual signing |
LYNN DUNHAM |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2019
|
161427271
|
2020-10-15
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
MARLENE SWAN |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2018
|
161427271
|
2019-10-07
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2019-10-07 |
Name of individual signing |
LYNN DUNHAM |
|
Role |
Employer/plan sponsor |
Date |
2019-10-07 |
Name of individual signing |
LYNN DUNHAM |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2017
|
161427271
|
2018-06-22
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2018-06-22 |
Name of individual signing |
MARLENE S SWAN |
|
Role |
Employer/plan sponsor |
Date |
2018-06-22 |
Name of individual signing |
MARLENE SWAN |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2016
|
161427271
|
2017-10-16
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
MARLENE SWAN |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
MARLENE SWAN |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2015
|
161427271
|
2016-08-08
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVENUE, JAMESTOWN, NY, 147012519
|
Signature of
Role |
Plan administrator |
Date |
2016-08-08 |
Name of individual signing |
LYNN DUNHAM |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2014
|
161427271
|
2015-10-01
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVENUE, JAMESTOWN, NY, 147012519
|
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
LYNN DUNHAM |
|
|
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN
|
2013
|
161427271
|
2014-10-14
|
JAMESTOWN PEDIATRIC ASSOCIATES
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166642589
|
Plan sponsor’s
address |
816 FAIRMOUNT AVENUE, JAMESTOWN, NY, 147012519
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
LYNN DUNHAM |
|
|