|
REHAB ALTERNATIVES, PLLC RETIREMENT PLAN
|
2011
|
113536782
|
2012-10-05
|
REHAB ALTERNATIVES, PLLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
561300
|
| Sponsor’s telephone number |
5162994343
|
| Plan sponsor’s
address |
125 JERICHO TURNPIKE SUITE 404, JERICHO, NY, 11753
|
Plan administrator’s name and address
| Administrator’s EIN |
113536782 |
| Plan administrator’s name |
REHAB ALTERNATIVES, PLLC |
| Plan administrator’s
address |
125 JERICHO TURNPIKE SUITE 404, JERICHO, NY, 11753 |
| Administrator’s telephone number |
5162994343 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-05 |
| Name of individual signing |
SUSAN GURSKY |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-05 |
| Name of individual signing |
SUSAN GURSKY |
|
|
|
REHAB ALTERNATIVES, PLLC RETIREMENT PLAN
|
2010
|
113536782
|
2011-10-27
|
REHAB ALTERNATIVES, PLLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
561300
|
| Sponsor’s telephone number |
5168016111
|
| Plan sponsor’s
address |
200 SOUTH SERVIVE ROAD, SUITE 101, ROSLYN HEIGHTS, NY, 11577
|
Plan administrator’s name and address
| Administrator’s EIN |
113536782 |
| Plan administrator’s name |
REHAB ALTERNATIVES, PLLC |
| Plan administrator’s
address |
200 SOUTH SERVIVE ROAD, SUITE 101, ROSLYN HEIGHTS, NY, 11577 |
| Administrator’s telephone number |
5168016111 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-27 |
| Name of individual signing |
SUSAN GURSKY |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-27 |
| Name of individual signing |
SUSAN GURSKY |
|
|
|
REHAB ALTERNATIVES, PLLC RETIREMENT PLAN
|
2009
|
113536782
|
2010-10-04
|
REHAB ALTERNATIVES, PLLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
561300
|
| Sponsor’s telephone number |
5168016111
|
| Plan sponsor’s
address |
200 SOUTH SERVIVE ROAD, SUITE 101, ROSLYN HEIGHTS, NY, 11577
|
Plan administrator’s name and address
| Administrator’s EIN |
113536782 |
| Plan administrator’s name |
REHAB ALTERNATIVES, PLLC |
| Plan administrator’s
address |
200 SOUTH SERVIVE ROAD, SUITE 101, ROSLYN HEIGHTS, NY, 11577 |
| Administrator’s telephone number |
5168016111 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-04 |
| Name of individual signing |
SUSAN GURSKY |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-04 |
| Name of individual signing |
SUSAN GURSKY |
|
|
