|
CENTRAL LONG ISLAND PEDIATRICS, LLP RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2012
|
112139078
|
2013-10-14
|
CENTRAL LONG ISLAND PEDIATRICS, LLP
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
007
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5162930666
|
| Plan sponsor’s
address |
700 OLD BETHPAGE ROAD, OLD BETHPAGE, NY, 11804
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-14 |
| Name of individual signing |
ANDREW RUBIN |
|
|
|
CENTRAL LONG ISLAND PEDIATRICS, LLP RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2011
|
112139078
|
2012-10-15
|
CENTRAL LONG ISLAND PEDIATRICS, LLP
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
007
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5162930666
|
| Plan sponsor’s
address |
700 OLD BETHPAGE ROAD, OLD BETHPAGE, NY, 11804
|
Plan administrator’s name and address
| Administrator’s EIN |
112139078 |
| Plan administrator’s name |
CENTRAL LONG ISLAND PEDIATRICS, LLP |
| Plan administrator’s
address |
700 OLD BETHPAGE ROAD, OLD BETHPAGE, NY, 11804 |
| Administrator’s telephone number |
5162930666 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-15 |
| Name of individual signing |
ANDREW RUBIN |
|
|
|
CENTRAL LONG ISLAND PEDIATRICS, LLP RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2010
|
112139078
|
2011-10-17
|
CENTRAL LONG ISLAND PEDIATRICS, LLP
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
007
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5162930666
|
| Plan sponsor’s
address |
700 OLD BETHPAGE ROAD, OLD BETHPAGE, NY, 11804
|
Plan administrator’s name and address
| Administrator’s EIN |
112139078 |
| Plan administrator’s name |
CENTRAL LONG ISLAND PEDIATRICS, LLP |
| Plan administrator’s
address |
700 OLD BETHPAGE ROAD, OLD BETHPAGE, NY, 11804 |
| Administrator’s telephone number |
5162930666 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-17 |
| Name of individual signing |
ANDREW RUBIN |
|
|
|
CENTRAL LONG ISLAND PEDIATRICS, LLP RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2009
|
112139078
|
2010-10-12
|
CENTRAL LONG ISLAND PEDIATRICS, LLP
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
007
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5162930666
|
| Plan sponsor’s
address |
700 OLD BETHPAGE ROAD, OLD BETHPAGE, NY, 11804
|
Plan administrator’s name and address
| Administrator’s EIN |
112139078 |
| Plan administrator’s name |
CENTRAL LONG ISLAND PEDIATRICS, LLP |
| Plan administrator’s
address |
700 OLD BETHPAGE ROAD, OLD BETHPAGE, NY, 11804 |
| Administrator’s telephone number |
5162930666 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-12 |
| Name of individual signing |
MAUREEN CAMPBELL |
|
|
