MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN
|
2014
|
134133865
|
2015-06-22
|
MELANIE C. GROSSMAN, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
MELANIE GROSSMAN |
|
|
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN
|
2013
|
134133865
|
2014-06-16
|
MELANIE C. GROSSMAN, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134133865 |
Plan administrator’s name |
MELANIE C. GROSSMAN, M.D.P.C. |
Plan administrator’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2127258600 |
Signature of
Role |
Plan administrator |
Date |
2014-06-16 |
Name of individual signing |
MELANIE GROSSMAN |
|
|
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN
|
2012
|
134133865
|
2013-07-09
|
MELANIE C. GROSSMAN, M.D., P.C.
|
2
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134133865 |
Plan administrator’s name |
MELANIE C. GROSSMAN, M.D.P.C. |
Plan administrator’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2127258600 |
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
MELANIE GROSSMAN |
|
|
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN
|
2012
|
134133865
|
2013-08-20
|
MELANIE C. GROSSMAN, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134133865 |
Plan administrator’s name |
MELANIE C. GROSSMAN, M.D.P.C. |
Plan administrator’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2127258600 |
Signature of
Role |
Plan administrator |
Date |
2013-08-20 |
Name of individual signing |
MELANIE GROSSMAN |
|
|
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN
|
2011
|
134133865
|
2012-06-25
|
MELANIE C. GROSSMAN, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134133865 |
Plan administrator’s name |
MELANIE C. GROSSMAN, M.D.P.C. |
Plan administrator’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2127258600 |
Signature of
Role |
Plan administrator |
Date |
2012-06-25 |
Name of individual signing |
MELANIE GROSSMAN |
|
|
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN
|
2010
|
134133865
|
2011-07-26
|
MELANIE C. GROSSMAN, M.D., P.C.
|
2
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134133865 |
Plan administrator’s name |
MELANIE C. GROSSMAN, M.D., P.C. |
Plan administrator’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2127258600 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-07-26 |
Name of individual signing |
MELANIE GROSSMAN |
|
|
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN
|
2010
|
134133865
|
2011-07-28
|
MELANIE C. GROSSMAN, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134133865 |
Plan administrator’s name |
MELANIE C. GROSSMAN, M.D., P.C. |
Plan administrator’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2127258600 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
MELANIE GROSSMAN |
|
|
MELANIE C. GROSSMAN, M.D.,P.C. RETIREMENT PLAN
|
2009
|
134133865
|
2010-07-22
|
MELANIE C. GROSSMAN, M.D.,P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134133865 |
Plan administrator’s name |
MELANIE C. GROSSMAN, M.D.,P.C. |
Plan administrator’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2127258600 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
MELANIE GROSSMAN |
|
|
MELANIE C. GROSSMAN, M.D.,P.C. RETIREMENT PLAN
|
2009
|
134133865
|
2010-07-22
|
MELANIE C. GROSSMAN, M.D.,P.C.
|
2
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127258600
|
Plan sponsor’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
134133865 |
Plan administrator’s name |
MELANIE C. GROSSMAN, M.D.,P.C. |
Plan administrator’s
address |
161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2127258600 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-22 |
Name of individual signing |
MELANIE GROSSMAN |
|
|