NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2023
|
113512942
|
2024-09-20
|
NORTH SHORE MEDICAL ARTS, LLP
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2024-09-20 |
Name of individual signing |
LINDA FERRARO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2022
|
113512942
|
2023-09-15
|
NORTH SHORE MEDICAL ARTS, LLP
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2023-09-15 |
Name of individual signing |
LINDA FERRARO |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2021
|
113512942
|
2022-10-14
|
NORTH SHORE MEDICAL ARTS, LLP
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
LINDA FERRARO |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2021
|
113512942
|
2022-09-15
|
NORTH SHORE MEDICAL ARTS, LLP
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2022-09-15 |
Name of individual signing |
LINDA FERRARO |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2020
|
113512942
|
2021-05-26
|
NORTH SHORE MEDICAL ARTS, LLP
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2021-05-26 |
Name of individual signing |
CHRISTOPHER MAKOWSKI |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2019
|
113512942
|
2020-04-29
|
NORTH SHORE MEDICAL ARTS, LLP
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2020-04-29 |
Name of individual signing |
CHRISTOPHER MAKOWSKI |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2018
|
113512942
|
2019-04-10
|
NORTH SHORE MEDICAL ARTS, LLP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2019-04-10 |
Name of individual signing |
CHRISTOPHER MAKOWSKI |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2017
|
113512942
|
2018-03-20
|
NORTH SHORE MEDICAL ARTS, LLP
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2018-03-20 |
Name of individual signing |
CHRISTOPHER MAKOWSKI |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2016
|
113512942
|
2017-06-07
|
NORTH SHORE MEDICAL ARTS, LLP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2017-06-07 |
Name of individual signing |
GEORGE ANTHONY VALDES |
|
|
NORTH SHORE MEDICAL ARTS, LLP 401(K) PROFIT SHARING PLAN
|
2015
|
113512942
|
2016-03-02
|
NORTH SHORE MEDICAL ARTS, LLP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
5165040800
|
Plan sponsor’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021
|
Plan administrator’s name and address
Administrator’s EIN |
113512942 |
Plan administrator’s name |
NORTH SHORE MEDICAL ARTS, LLP |
Plan administrator’s
address |
295 COMMUNITY DRIVE, GREAT NECK, NY, 11021 |
Administrator’s telephone number |
5165040800 |
Signature of
Role |
Plan administrator |
Date |
2016-03-02 |
Name of individual signing |
GEORGE ANTHONY VALDES |
|
|