LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
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2019
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112303460
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2020-07-27
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
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9
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|
File |
View Page
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Three-digit plan number (PN) |
004
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Effective date of plan |
1991-01-01
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Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
29 LAWRENCE STREET, NEW HYDE PARK, NY, 11040
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|
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
112303460
|
2020-07-27
|
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
112303460
|
2019-04-23
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
112303460
|
2018-07-25
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
112303460
|
2017-07-24
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
112303460
|
2016-07-13
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2014
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112303460
|
2015-07-10
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
ROBERT MALKIN |
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
112303460
|
2014-07-10
|
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
ROBERT MALKIN |
|
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
112303460
|
2013-06-19
|
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
Signature of
Role |
Plan administrator |
Date |
2013-06-19 |
Name of individual signing |
ROBERT MALKIN |
|
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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
112303460
|
2012-10-15
|
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1991-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164882750
|
Plan sponsor’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112303460 |
Plan administrator’s name |
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. |
Plan administrator’s
address |
410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5164882750 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MARIANNE MUNDY |
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