NEWMAN & BIVONA R.T. TRUST
|
2020
|
141546521
|
2021-07-28
|
ADVANCED SURGICAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2019
|
141546521
|
2020-08-24
|
ADVANCED SURGICAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2020-08-24 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2018
|
141546521
|
2019-08-02
|
ADVANCED SURGICAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2019-08-02 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2017
|
141546521
|
2018-08-17
|
ADVANCED SURGICAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2018-08-17 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2016
|
141546521
|
2017-08-28
|
ADVANCED SURGICAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2017-08-28 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2015
|
141546521
|
2016-10-28
|
ADVANCED SURGICAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2016-10-28 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2014
|
141546521
|
2015-09-17
|
ADVANCED SURGICAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2015-09-17 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2013
|
141546521
|
2014-09-03
|
ADVANCED SURGICAL CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2014-09-03 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2012
|
141546521
|
2013-11-19
|
ADVANCED SURGICAL CARE, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Signature of
Role |
Plan administrator |
Date |
2013-11-19 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|
NEWMAN & BIVONA R.T. TRUST
|
2011
|
141546521
|
2013-04-02
|
ADVANCED SURGICAL CARE, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8455340008
|
Plan sponsor’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518
|
Plan administrator’s name and address
Administrator’s EIN |
141546521 |
Plan administrator’s name |
ADVANCED SURGICAL CARE, P.C. |
Plan administrator’s
address |
21 LAUREL AVENUE, CORNWALL, NY, 12518 |
Administrator’s telephone number |
8455340008 |
Signature of
Role |
Plan administrator |
Date |
2013-04-02 |
Name of individual signing |
ROGER NEWMAN, M.D. |
|
|