|
NASSAU DIALYSIS, LLC 401(K) PLAN
|
2012
|
134200972
|
2013-06-07
|
NASSAU DIALYSIS, LLC
|
55
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2002-01-01
|
| Business code |
621492
|
| Sponsor’s telephone number |
9143684021
|
| Plan sponsor’s mailing address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605
|
| Plan sponsor’s
address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605
|
Plan administrator’s name and address
| Administrator’s EIN |
134200972 |
| Plan administrator’s name |
NASSAU DIALYSIS, LLC |
| Plan administrator’s
address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605 |
| Administrator’s telephone number |
9143684021 |
Number of participants as of the end of the plan year
| Active participants |
55 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
2 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
32 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-06-07 |
| Name of individual signing |
CHRISTOPHER GATELY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NASSAU DIALYSIS, LLC 401(K) PLAN
|
2011
|
134200972
|
2012-06-11
|
NASSAU DIALYSIS, LLC
|
55
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2002-01-01
|
| Business code |
621492
|
| Sponsor’s telephone number |
9143684021
|
| Plan sponsor’s mailing address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605
|
| Plan sponsor’s
address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605
|
Plan administrator’s name and address
| Administrator’s EIN |
134200972 |
| Plan administrator’s name |
NASSAU DIALYSIS, LLC |
| Plan administrator’s
address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605 |
| Administrator’s telephone number |
9143684021 |
Number of participants as of the end of the plan year
| Active participants |
54 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
30 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-11 |
| Name of individual signing |
CHRISTOPHER GATELY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NASSAU DIALYSIS, LLC 401(K) PLAN
|
2010
|
134200972
|
2011-04-06
|
NASSAU DIALYSIS, LLC
|
63
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2002-01-01
|
| Business code |
621492
|
| Sponsor’s telephone number |
9143684021
|
| Plan sponsor’s mailing address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605
|
| Plan sponsor’s
address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605
|
Plan administrator’s name and address
| Administrator’s EIN |
134200972 |
| Plan administrator’s name |
NASSAU DIALYSIS, LLC |
| Plan administrator’s
address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605 |
| Administrator’s telephone number |
9143684021 |
Number of participants as of the end of the plan year
| Active participants |
53 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
2 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
30 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-06 |
| Name of individual signing |
CHRISTOPHER GATELY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NASSAU DIALYSIS, LLC 401(K) PLAN
|
2009
|
134200972
|
2010-09-28
|
NASSAU DIALYSIS, LLC
|
66
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2002-01-01
|
| Business code |
621492
|
| Sponsor’s telephone number |
9146449268
|
| Plan sponsor’s mailing address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605
|
| Plan sponsor’s
address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605
|
Plan administrator’s name and address
| Administrator’s EIN |
134200972 |
| Plan administrator’s name |
NASSAU DIALYSIS, LLC |
| Plan administrator’s
address |
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY, 10605 |
| Administrator’s telephone number |
9146449268 |
Number of participants as of the end of the plan year
| Active participants |
60 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
31 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-28 |
| Name of individual signing |
CHRISTOPHER GATELY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
