CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2016
|
161580343
|
2017-08-16
|
CLIFFORD J. HURLEY, D.O., LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622
|
Signature of
Role |
Plan administrator |
Date |
2017-08-15 |
Name of individual signing |
CLIFFORD HURLEY |
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CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2016
|
161580343
|
2017-03-20
|
CLIFFORD J. HURLEY, D.O., LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2017-03-20 |
Name of individual signing |
CLIFFORD HURLEY |
|
|
CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2015
|
161580343
|
2016-09-07
|
CLIFFORD J. HURLEY, D.O., LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
CLIFFORD HURLEY |
|
|
CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2014
|
161580343
|
2015-05-30
|
CLIFFORD J. HURLEY, D.O., LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2015-05-30 |
Name of individual signing |
CLIFFORD HURLEY |
|
|
CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2014
|
161580343
|
2016-09-07
|
CLIFFORD J. HURLEY, D.O., LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
CLIFFORD HURLEY |
|
|
CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2013
|
161580343
|
2014-07-07
|
CLIFFORD J. HURLEY, D.O., LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
54 MOORING LINE DR, ROCHESTER, NY, 14622 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2014-07-07 |
Name of individual signing |
CLIFFORD HURLEY |
|
|
CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2012
|
161580343
|
2013-06-27
|
CLIFFORD J. HURLEY, D.O., LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
24 SPLIT ROCK ROAD, PITTSFORD, NY, 14534
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
24 SPLIT ROCK ROAD, PITTSFORD, NY, 14534 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2013-06-27 |
Name of individual signing |
CLIFFORD HURLEY |
|
|
CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2011
|
161580343
|
2012-06-12
|
CLIFFORD J. HURLEY, D.O., LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
24 SPLIT ROCK ROAD, PITTSFORD, NY, 14534
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
24 SPLIT ROCK ROAD, PITTSFORD, NY, 14534 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2012-06-12 |
Name of individual signing |
CLIFFORD HURLEY |
|
|
CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2010
|
161580343
|
2011-03-21
|
CLIFFORD J. HURLEY, D.O., LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
24 SPLIT ROCK ROAD, PITTSFORD, NY, 14534
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
24 SPLIT ROCK ROAD, PITTSFORD, NY, 14534 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2011-03-21 |
Name of individual signing |
CLIFFORD HURLEY |
|
|
CLIFFORD J. HURLEY, D.O., LLC 401(K) P/S PLAN
|
2009
|
161580343
|
2010-07-12
|
CLIFFORD J. HURLEY, D.O., LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5854260530
|
Plan sponsor’s
address |
24 SPLIT ROCK ROAD, PITTSFORD, NY, 14534
|
Plan administrator’s name and address
Administrator’s EIN |
161580343 |
Plan administrator’s name |
CLIFFORD J. HURLEY, D.O., LLC |
Plan administrator’s
address |
24 SPLIT ROCK ROAD, PITTSFORD, NY, 14534 |
Administrator’s telephone number |
5854260530 |
Signature of
Role |
Plan administrator |
Date |
2010-07-12 |
Name of individual signing |
CLIFFORD HURLEY |
|
|