ST. LAWRENCE INTERNISTS, PC 401(K) PROFIT SHARING PLAN
|
2017
|
161598623
|
2018-09-10
|
ST. LAWRENCE INTERNISTS, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Signature of
Role |
Plan administrator |
Date |
2018-09-10 |
Name of individual signing |
JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
161598623
|
2018-02-14
|
ST. LAWRENCE INTERNISTS, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Signature of
Role |
Plan administrator |
Date |
2018-02-14 |
Name of individual signing |
JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
161598623
|
2017-08-01
|
ST. LAWRENCE INTERNISTS, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Signature of
Role |
Plan administrator |
Date |
2017-08-01 |
Name of individual signing |
JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
161598623
|
2016-10-10
|
ST. LAWRENCE INTERNISTS, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Signature of
Role |
Plan administrator |
Date |
2016-10-10 |
Name of individual signing |
JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
161598623
|
2015-08-03
|
ST. LAWRENCE INTERNISTS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Signature of
Role |
Plan administrator |
Date |
2015-08-03 |
Name of individual signing |
DR. JAYANT JHAVERI |
|
Role |
Employer/plan sponsor |
Date |
2015-08-03 |
Name of individual signing |
DR. JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
161598623
|
2014-07-24
|
ST. LAWRENCE INTERNISTS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
DR. JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
161598623
|
2013-06-12
|
ST. LAWRENCE INTERNISTS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Signature of
Role |
Plan administrator |
Date |
2013-06-12 |
Name of individual signing |
JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) RETIREMENT PLAN
|
2011
|
161598623
|
2012-07-30
|
ST. LAWRENCE INTERNISTS, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Plan administrator’s name and address
Administrator’s EIN |
161598623 |
Plan administrator’s name |
ST. LAWRENCE INTERNISTS, P.C. |
Plan administrator’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662 |
Administrator’s telephone number |
3157640221 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
JAYANT JHAVERI |
|
Role |
Employer/plan sponsor |
Date |
2012-07-30 |
Name of individual signing |
JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) RETIREMENT PLAN
|
2010
|
161598623
|
2011-05-16
|
ST. LAWRENCE INTERNISTS, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Plan administrator’s name and address
Administrator’s EIN |
161598623 |
Plan administrator’s name |
ST. LAWRENCE INTERNISTS, P.C. |
Plan administrator’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662 |
Administrator’s telephone number |
3157640221 |
Signature of
Role |
Plan administrator |
Date |
2011-05-16 |
Name of individual signing |
JAYANT JHAVERI |
|
|
ST. LAWRENCE INTERNISTS, P.C. 401(K) RETIREMENT PLAN
|
2009
|
161598623
|
2010-09-21
|
ST. LAWRENCE INTERNISTS, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157640221
|
Plan sponsor’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662
|
Plan administrator’s name and address
Administrator’s EIN |
161598623 |
Plan administrator’s name |
ST. LAWRENCE INTERNISTS, P.C. |
Plan administrator’s
address |
267 ANDREWS STREET, MASSENA, NY, 13662 |
Administrator’s telephone number |
3157640221 |
Signature of
Role |
Plan administrator |
Date |
2010-09-21 |
Name of individual signing |
JAYANT JHAVERI |
|
Role |
Employer/plan sponsor |
Date |
2010-09-21 |
Name of individual signing |
JAYANT JHAVERI |
|
|