JAYANT H. GANDHI DB PLAN
|
2019
|
113601430
|
2020-09-25
|
GRAND STREET MEDICAL PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127349031
|
Plan sponsor’s
address |
80 EAST END AVE. 14-B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2020-09-25 |
Name of individual signing |
JAYANT H. GANDHI |
|
|
JAYANT H. GANDHI DB PLAN
|
2018
|
113601430
|
2019-09-30
|
GRAND STREET MEDICAL PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127349031
|
Plan sponsor’s
address |
80 EAST END AVE. 14-B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
JAYANT H. GANDHI |
|
|
GRAND STREET MEDICAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
141757037
|
2016-09-07
|
GRAND STREET MEDICAL
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-02
|
Business code |
621111
|
Sponsor’s telephone number |
8453381535
|
Plan sponsor’s
address |
27 GRAND STREET, KINGSTON, NY, 12401
|
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
TEJAS SHAH |
|
|
GRAND STREET MEDICAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
141757037
|
2014-06-03
|
GRAND STREET MEDICAL
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-02
|
Business code |
621111
|
Sponsor’s telephone number |
8453381535
|
Plan sponsor’s
address |
27 GRAND STREET, KINGSTON, NY, 12401
|
Signature of
Role |
Plan administrator |
Date |
2014-06-03 |
Name of individual signing |
ASHISH SHAH |
|
|
GRAND STREET MEDICAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
141757037
|
2013-12-10
|
GRAND STREET MEDICAL
|
68
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-02
|
Business code |
621111
|
Sponsor’s telephone number |
8453381535
|
Plan sponsor’s
address |
27 GRAND STREET, KINGSTON, NY, 12401
|
Signature of
Role |
Plan administrator |
Date |
2013-12-10 |
Name of individual signing |
ASHISH SHAH |
|
|
GRAND STREET MEDICAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
141757037
|
2013-12-24
|
GRAND STREET MEDICAL
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-02
|
Business code |
621111
|
Sponsor’s telephone number |
8453381535
|
Plan sponsor’s
address |
27 GRAND STREET, KINGSTON, NY, 12401
|
Signature of
Role |
Plan administrator |
Date |
2013-12-24 |
Name of individual signing |
ASHISH SHAH |
|
|
GRAND STREET MEDICAL 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
141757037
|
2012-07-27
|
GRAND STREET MEDICAL
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-02
|
Business code |
621111
|
Sponsor’s telephone number |
8453381535
|
Plan sponsor’s
address |
27 GRAND STREET, KINGSTON, NY, 12401
|
Plan administrator’s name and address
Administrator’s EIN |
141757037 |
Plan administrator’s name |
GRAND STREET MEDICAL |
Plan administrator’s
address |
27 GRAND STREET, KINGSTON, NY, 12401 |
Administrator’s telephone number |
8453381535 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
ASHISH SHAH |
|
|