BERLE C. BERGER, O.D., P.C. DEFINED BENEFIT PLAN
|
2011
|
112317795
|
2012-04-02
|
BERLE C. BERGER, O.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5164664982
|
Plan sponsor’s
address |
93 COUNTRY DRIVE, PLAINVIEW, NY, 118033221
|
Plan administrator’s name and address
Administrator’s EIN |
112317795 |
Plan administrator’s name |
BERLE C. BERGER, O.D., P.C. |
Plan administrator’s
address |
93 COUNTRY DRIVE, PLAINVIEW, NY, 118033221 |
Administrator’s telephone number |
5164664982 |
Signature of
Role |
Plan administrator |
Date |
2012-04-02 |
Name of individual signing |
LAWRENCE LEVY |
|
Role |
Employer/plan sponsor |
Date |
2012-04-02 |
Name of individual signing |
LAWRENCE LEVY |
|
|
BERLE C. BERGER, OD, PC MULTIPLE EMPLOYER WELFARE BENEFIT PLAN
|
2011
|
112317795
|
2012-10-22
|
BERLE C. BERGER, O.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-09-18
|
Business code |
621320
|
Sponsor’s telephone number |
5164664982
|
Plan sponsor’s
address |
93 COUNTRY DRIVE, PLAINVIEW, NY, 118033221
|
Plan administrator’s name and address
Administrator’s EIN |
112317795 |
Plan administrator’s name |
BERLE C. BERGER, O.D., P.C. |
Plan administrator’s
address |
93 COUNTRY DRIVE, PLAINVIEW, NY, 118033221 |
Administrator’s telephone number |
5164664982 |
Signature of
Role |
Plan administrator |
Date |
2012-10-22 |
Name of individual signing |
BERLE BERGER |
|
Role |
Employer/plan sponsor |
Date |
2012-10-22 |
Name of individual signing |
BERLE BERGER |
|
|
BERLE C. BERGER, OD, PC MULTIPLE EMPLOYER WELFARE BENEFIT PLAN
|
2010
|
112317795
|
2011-10-17
|
BERLE C. BERGER, O.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-09-18
|
Business code |
621320
|
Sponsor’s telephone number |
5164820129
|
Plan sponsor’s
address |
93 COUNTRY DRIVE, PLAINVIEW, NY, 110833221
|
Plan administrator’s name and address
Administrator’s EIN |
112317795 |
Plan administrator’s name |
BERLE C. BERGER, O.D., P.C. |
Plan administrator’s
address |
93 COUNTRY DRIVE, PLAINVIEW, NY, 110833221 |
Administrator’s telephone number |
5164820129 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
LAWRENCE LEVY |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
LAWRENCE LEVY |
|
|
BERLE C. BERGER, O.D., P.C. DEFINED BENEFIT PLAN
|
2010
|
112317795
|
2011-10-12
|
BERLE C. BERGER, O.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5164664982
|
Plan sponsor’s
address |
93 COUNTRY DRIVE, PLAINVIEW, NY, 118033221
|
Plan administrator’s name and address
Administrator’s EIN |
112317795 |
Plan administrator’s name |
BERLE C. BERGER, O.D., P.C. |
Plan administrator’s
address |
93 COUNTRY DRIVE, PLAINVIEW, NY, 118033221 |
Administrator’s telephone number |
5164664982 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
LAWRENCE LEVY |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
LAWRENCE LEVY |
|
|
BERLE C. BERGER, O.D., P.C. PENSION PLAN
|
2009
|
112317795
|
2010-12-23
|
BERLE C. BERGER, O.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-09-01
|
Business code |
621320
|
Sponsor’s telephone number |
5164820129
|
Plan sponsor’s
address |
64 MIDDLE NECK ROAD, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
112317795 |
Plan administrator’s name |
BERLE C. BERGER, O.D., P.C. |
Plan administrator’s
address |
64 MIDDLE NECK ROAD, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5164820129 |
Signature of
Role |
Plan administrator |
Date |
2010-12-23 |
Name of individual signing |
BERLE BERGER |
|
Role |
Employer/plan sponsor |
Date |
2010-12-23 |
Name of individual signing |
BERLE BERGER |
|
|
BERLE C. BERGER, OD, PC MULTIPLE EMPLOYER WELFARE BENEFIT PLAN
|
2009
|
112317795
|
2010-10-14
|
BERLE C. BERGER, O.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-09-18
|
Business code |
621320
|
Sponsor’s telephone number |
5164820129
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s
address |
64 MIDDLE NECK ROAD, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
112317795 |
Plan administrator’s name |
BERLE C. BERGER, O.D., P.C. |
Plan administrator’s
address |
64 MIDDLE NECK ROAD, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5164820129 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
BERLE BERGER |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
BERLE BERGER |
|
|
BERLE C. BERGER, O.D., P.C. DEFINED BENEFIT PLAN
|
2009
|
112317795
|
2010-10-07
|
BERLE C. BERGER, O.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5164820129
|
Plan sponsor’s
address |
64 MIDDLE NECK ROAD, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
112317795 |
Plan administrator’s name |
BERLE C. BERGER, O.D., P.C. |
Plan administrator’s
address |
64 MIDDLE NECK ROAD, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5164820129 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
LAWRENCE LEVY |
|
Role |
Employer/plan sponsor |
Date |
2010-10-07 |
Name of individual signing |
LAWRENCE LEVY |
|
|