STERLING SURGICAL 401(K) PLAN
|
2020
|
161607894
|
2021-10-06
|
STERLING SURGICAL CENTER, LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
303 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2021-10-06 |
Name of individual signing |
MAUREEN FAGIN |
|
|
STERLING SURGICAL 401(K) PLAN
|
2019
|
161607894
|
2020-09-25
|
STERLING SURGICAL CENTER, LLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
303 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2020-09-25 |
Name of individual signing |
MAUREEN FAGIN |
|
|
STERLING SURGICAL 401(K) PLAN
|
2018
|
161607894
|
2019-10-02
|
STERLING SURGICAL CENTER, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
303 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2019-10-02 |
Name of individual signing |
MAUREEN FAGIN |
|
|
STERLING SURGICAL 401(K) PLAN
|
2017
|
161607894
|
2018-08-21
|
STERLING SURGICAL CENTER, LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
303 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2018-08-21 |
Name of individual signing |
PATRICIA DAVIS |
|
|
STERLING SURGICAL 401(K) PLAN
|
2016
|
161607894
|
2017-09-11
|
STERLING SURGICAL CENTER, LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
303 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2017-09-11 |
Name of individual signing |
PATRICIA DAVIS |
|
|
STERLING SURGICAL 401(K) PLAN
|
2015
|
161607894
|
2016-07-11
|
STERLING SURGICAL CENTER, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
303 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
PATRICIA DAVIS |
|
|
STERLING SURGICAL 401(K) PLAN
|
2014
|
161607894
|
2015-09-08
|
STERLING SURGICAL CENTER, LLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
303 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2015-09-08 |
Name of individual signing |
PATRICIA DAVIS |
|
|
STERLING SURGICAL 401(K) PLAN
|
2013
|
161607894
|
2014-09-08
|
STERLING SURGICAL CENTER, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
300 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2014-09-08 |
Name of individual signing |
LEONARD GUREVICH |
|
|
STERLING SURGICAL 401(K) PLAN
|
2012
|
161607894
|
2013-09-18
|
STERLING SURGICAL CENTER, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
300 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2013-09-18 |
Name of individual signing |
LEONARD GUREVICH |
|
|
STERLING SURGICAL 401(K) PLAN
|
2011
|
161607894
|
2012-09-14
|
STERLING SURGICAL CENTER, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166776500
|
Plan sponsor’s
address |
300 STERLING DRIVE, ORCHARD PARK, NY, 14127
|
Plan administrator’s name and address
Administrator’s EIN |
161607894 |
Plan administrator’s name |
STERLING SURGICAL CENTER, LLC |
Plan administrator’s
address |
300 STERLING DRIVE, ORCHARD PARK, NY, 14127 |
Administrator’s telephone number |
7166776500 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
LEONARD GUREVICH |
|
Role |
Employer/plan sponsor |
Date |
2012-09-14 |
Name of individual signing |
LEONARD GUREVICH |
|
|