QUEENS PEDIATRIC CARE LLP 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
113496061
|
2016-03-24
|
QUEENS PEDIATRIC CARE LLP
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183227425
|
Plan sponsor’s
address |
15849 84TH ST, HOWARD BEACH, NY, 114143020
|
Signature of
Role |
Plan administrator |
Date |
2016-03-24 |
Name of individual signing |
THOMAS SHIM |
|
|
QUEENS PEDIATRIC CARE LLP 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
113496061
|
2015-06-27
|
QUEENS PEDIATRIC CARE LLP
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183225804
|
Plan sponsor’s
address |
15849 84TH ST, HOWARD BEACH, NY, 114143020
|
Plan administrator’s name and address
Administrator’s EIN |
113496061 |
Plan administrator’s name |
QUEENS PEDIATRIC CARE LLP |
Plan administrator’s
address |
15849 84TH ST, HOWARD BEACH, NY, 114143020 |
Administrator’s telephone number |
7183225804 |
Signature of
Role |
Plan administrator |
Date |
2015-06-27 |
Name of individual signing |
THOMAS SHIM |
|
Role |
Employer/plan sponsor |
Date |
2015-06-27 |
Name of individual signing |
THOMAS SHIM |
|
|
QUEENS PEDIATRIC CARE LLP 401 K PROFIT SHARING PLAN TRUST
|
2013
|
113496061
|
2014-05-27
|
QUEENS PEDIATRIC CARE LLP
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183225804
|
Plan sponsor’s
address |
15849 84TH ST, HOWARD BEACH, NY, 114143020
|
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
THOMAS SHIM |
|
|
QUEENS PEDIATRIC CARE LLP 401 K PROFIT SHARING PLAN TRUST
|
2012
|
113496061
|
2013-06-30
|
QUEENS PEDIATRIC CARE LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183225804
|
Plan sponsor’s
address |
15849 84TH ST, HOWARD BEACH, NY, 114143020
|
Signature of
Role |
Plan administrator |
Date |
2013-06-30 |
Name of individual signing |
QUEENS PEDIATRIC CARE LLP |
|
|
QUEENS PEDIATRIC CARE LLP 401 K PROFIT SHARING PLAN TRUST
|
2011
|
113496061
|
2012-04-19
|
QUEENS PEDIATRIC CARE LLP
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183225804
|
Plan sponsor’s
address |
15849 84TH ST, HOWARD BEACH, NY, 114143020
|
Plan administrator’s name and address
Administrator’s EIN |
113496061 |
Plan administrator’s name |
QUEENS PEDIATRIC CARE LLP |
Plan administrator’s
address |
15849 84TH ST, HOWARD BEACH, NY, 114143020 |
Administrator’s telephone number |
7183225804 |
Signature of
Role |
Plan administrator |
Date |
2012-04-19 |
Name of individual signing |
QUEENS PEDIATRIC CARE LLP |
|
|
QUEENS PEDIATRIC CARE LLP 401 K PROFIT SHARING PLAN TRUST
|
2010
|
113496061
|
2011-07-19
|
QUEENS PEDIATRIC CARE LLP
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183225804
|
Plan sponsor’s
address |
158-49 84TH STREET, HOWARD BEACH, NY, 114140000
|
Plan administrator’s name and address
Administrator’s EIN |
113496061 |
Plan administrator’s name |
QUEENS PEDIATRIC CARE LLP |
Plan administrator’s
address |
158-49 84TH STREET, HOWARD BEACH, NY, 114140000 |
Administrator’s telephone number |
7183225804 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
QUEENS PEDIATRIC CARE LLP |
|
|
QUEENS PEDIATRIC CARE LLP
|
2009
|
113496061
|
2010-10-15
|
QUEENS PEDIATRIC CARE LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183225804
|
Plan sponsor’s
address |
158-49 84TH STREET, HOWARD BEACH, NY, 114140000
|
Plan administrator’s name and address
Administrator’s EIN |
113496061 |
Plan administrator’s name |
QUEENS PEDIATRIC CARE LLP |
Plan administrator’s
address |
158-49 84TH STREET, HOWARD BEACH, NY, 114140000 |
Administrator’s telephone number |
7183225804 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
QUEENS PEDIATRIC CARE LLP |
|
|
QUEENS PEDIATRIC CARE LLP
|
2009
|
113496061
|
2010-10-15
|
QUEENS PEDIATRIC CARE LLP
|
33
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183225804
|
Plan sponsor’s
address |
158-49 84TH STREET, HOWARD BEACH, NY, 114140000
|
Plan administrator’s name and address
Administrator’s EIN |
113496061 |
Plan administrator’s name |
QUEENS PEDIATRIC CARE LLP |
Plan administrator’s
address |
158-49 84TH STREET, HOWARD BEACH, NY, 114140000 |
Administrator’s telephone number |
7183225804 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
QUEENS PEDIATRIC CARE LLP |
|
|