WESTSIDE PULMONARY, P.C. PROFIT SHARING PLAN
|
2010
|
134126984
|
2011-10-14
|
WESTSIDE PULMONARY, P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127497960
|
Plan sponsor’s
address |
1090 AMSTERDAM AVENUE, SUITE 5A, NEW YORK, NY, 100251737
|
Plan administrator’s name and address
Administrator’s EIN |
134126984 |
Plan administrator’s name |
WESTSIDE PULMONARY, P.C. |
Plan administrator’s
address |
1090 AMSTERDAM AVENUE, SUITE 5A, NEW YORK, NY, 100251737 |
Administrator’s telephone number |
2127497960 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
JOSEPH GHASSIBI |
|
|
WESTSIDE PULMONARY, P.C. PROFIT SHARING PLAN
|
2010
|
134126984
|
2011-09-08
|
WESTSIDE PULMONARY, P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127497960
|
Plan sponsor’s
address |
1090 AMSTERDAM AVENUE, SUITE 5A, NEW YORK, NY, 100251737
|
Plan administrator’s name and address
Administrator’s EIN |
134126984 |
Plan administrator’s name |
WESTSIDE PULMONARY, P.C. |
Plan administrator’s
address |
1090 AMSTERDAM AVENUE, SUITE 5A, NEW YORK, NY, 100251737 |
Administrator’s telephone number |
2127497960 |
Signature of
Role |
Plan administrator |
Date |
2011-09-01 |
Name of individual signing |
JOSEPH GHASSIBI |
|
|
WESTSIDE PULMONARY, P.C. PROFIT SHARING PLAN
|
2010
|
134126984
|
2012-10-15
|
WESTSIDE PULMONARY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127497960
|
Plan sponsor’s
address |
1090 AMSTERDAM AVENUE, SUITE 5A, NEW YORK, NY, 100251737
|
Plan administrator’s name and address
Administrator’s EIN |
134126984 |
Plan administrator’s name |
WESTSIDE PULMONARY, P.C. |
Plan administrator’s
address |
1090 AMSTERDAM AVENUE, SUITE 5A, NEW YORK, NY, 100251737 |
Administrator’s telephone number |
2127497960 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
JOSEPH GHASSIBI |
|
|
WESTSIDE PULMONARY, P.C. PROFIT SHARING PLAN
|
2009
|
134126984
|
2010-08-13
|
WESTSIDE PULMONARY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127497960
|
Plan sponsor’s
address |
1090 AMSTERDAM AVENUE, SUITE 5A, NEW YORK, NY, 100251737
|
Plan administrator’s name and address
Administrator’s EIN |
134126984 |
Plan administrator’s name |
WESTSIDE PULMONARY, P.C. |
Plan administrator’s
address |
1090 AMSTERDAM AVENUE, SUITE 5A, NEW YORK, NY, 100251737 |
Administrator’s telephone number |
2127497960 |
Signature of
Role |
Plan administrator |
Date |
2010-08-12 |
Name of individual signing |
JOSEPH GHASSIBI |
|
|