NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN
|
2016
|
112299031
|
2017-06-13
|
NASSAU PEDIATRIC ASSOCIATES, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164813660
|
Plan sponsor’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
|
Signature of
Role |
Plan administrator |
Date |
2017-06-13 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
Role |
Employer/plan sponsor |
Date |
2017-06-13 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
|
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN
|
2015
|
112299031
|
2016-05-25
|
NASSAU PEDIATRIC ASSOCIATES, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164813660
|
Plan sponsor’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY 11010, FRANKLIN SQUARE, NY, 11010
|
Signature of
Role |
Plan administrator |
Date |
2016-05-25 |
Name of individual signing |
LAURIE DARIENZO |
|
Role |
Employer/plan sponsor |
Date |
2016-05-25 |
Name of individual signing |
LAURIE DARIENZO |
|
|
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN
|
2014
|
112299031
|
2015-06-15
|
NASSAU PEDIATRIC ASSOCIATES, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164813660
|
Plan sponsor’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
|
Signature of
Role |
Plan administrator |
Date |
2015-06-15 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
Role |
Employer/plan sponsor |
Date |
2015-06-15 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
|
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN
|
2013
|
112299031
|
2014-07-01
|
NASSAU PEDIATRIC ASSOCIATES, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164813660
|
Plan sponsor’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
|
Signature of
Role |
Plan administrator |
Date |
2014-07-01 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
Role |
Employer/plan sponsor |
Date |
2014-07-01 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
|
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN
|
2012
|
112299031
|
2013-06-04
|
NASSAU PEDIATRIC ASSOCIATES, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164813660
|
Plan sponsor’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
|
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
Role |
Employer/plan sponsor |
Date |
2013-06-04 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
|
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN
|
2011
|
112299031
|
2012-08-15
|
NASSAU PEDIATRIC ASSOCIATES, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164813660
|
Plan sponsor’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
|
Plan administrator’s name and address
Administrator’s EIN |
112299031 |
Plan administrator’s name |
NASSAU PEDIATRIC ASSOCIATES, P.C. |
Plan administrator’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010 |
Administrator’s telephone number |
5164813660 |
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
Role |
Employer/plan sponsor |
Date |
2012-08-15 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
|
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN
|
2010
|
112299031
|
2011-05-18
|
NASSAU PEDIATRIC ASSOCIATES, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164813660
|
Plan sponsor’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
|
Plan administrator’s name and address
Administrator’s EIN |
112299031 |
Plan administrator’s name |
NASSAU PEDIATRIC ASSOCIATES, P.C. |
Plan administrator’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010 |
Administrator’s telephone number |
5164813660 |
Signature of
Role |
Plan administrator |
Date |
2011-05-18 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
Role |
Employer/plan sponsor |
Date |
2011-05-18 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
|
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN
|
2009
|
112299031
|
2010-08-31
|
NASSAU PEDIATRIC ASSOCIATES, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164813660
|
Plan sponsor’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
|
Plan administrator’s name and address
Administrator’s EIN |
112299031 |
Plan administrator’s name |
NASSAU PEDIATRIC ASSOCIATES, P.C. |
Plan administrator’s
address |
380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010 |
Administrator’s telephone number |
5164813660 |
Signature of
Role |
Plan administrator |
Date |
2010-08-31 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
Role |
Employer/plan sponsor |
Date |
2010-08-31 |
Name of individual signing |
WILLIAM KUNCEWITCH |
|
|