FIRST CHOICE MEDICAL, PLLC 401(K) PROFIT SHARING PLAN
|
2023
|
364487963
|
2024-10-10
|
FIRST CHOICE MEDICAL, PLLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 11741
|
Signature of
Role |
Plan administrator |
Date |
2024-10-10 |
Name of individual signing |
LISA COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST CHOICE MEDICAL, PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
364487963
|
2023-10-13
|
FIRST CHOICE MEDICAL, PLLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 11741
|
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
LISA COHEN |
|
|
FIRST CHOICE MEDICAL, PLLC 401(K) PROFIT SHARING PLAN
|
2021
|
364487963
|
2022-10-06
|
FIRST CHOICE MEDICAL, PLLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 11741
|
Signature of
Role |
Plan administrator |
Date |
2022-10-06 |
Name of individual signing |
LISA COHEN |
|
|
FIRST CHOICE MEDICAL, PLLC 401(K) PROFIT SHARING PLAN
|
2020
|
364487963
|
2021-09-29
|
FIRST CHOICE MEDICAL, PLLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 11741
|
Signature of
Role |
Plan administrator |
Date |
2021-09-29 |
Name of individual signing |
LISA COHEN |
|
|
FIRST CHOICE MEDICAL, PLLC 401K PROFIT SHARING PLAN
|
2014
|
364487963
|
2015-10-14
|
FIRST CHOICE MEDICAL, PLLC
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704
|
Plan administrator’s name and address
Administrator’s EIN |
364487963 |
Plan administrator’s name |
FIRST CHOICE MEDICAL, PLLC |
Plan administrator’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704 |
Administrator’s telephone number |
6315855858 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
LAWRENCE GOLDMAN |
|
|
FIRST CHOICE MEDICAL, PLLC 401K PROFIT SHARING PLAN
|
2013
|
364487963
|
2014-07-17
|
FIRST CHOICE MEDICAL, PLLC
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704
|
Plan administrator’s name and address
Administrator’s EIN |
364487963 |
Plan administrator’s name |
FIRST CHOICE MEDICAL, PLLC |
Plan administrator’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704 |
Administrator’s telephone number |
6315855858 |
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
LAWRENCE GOLDMAN |
|
|
FIRST CHOICE MEDICAL, PLLC 401K PROFIT SHARING PLAN
|
2012
|
364487963
|
2013-09-11
|
FIRST CHOICE MEDICAL, PLLC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704
|
Plan administrator’s name and address
Administrator’s EIN |
364487963 |
Plan administrator’s name |
FIRST CHOICE MEDICAL, PLLC |
Plan administrator’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704 |
Administrator’s telephone number |
6315855858 |
Signature of
Role |
Plan administrator |
Date |
2013-09-11 |
Name of individual signing |
LAWRENCE GOLDMAN |
|
|
FIRST CHOICE MEDICAL, PLLC 401K PROFIT SHARING PLAN
|
2011
|
364487963
|
2012-07-09
|
FIRST CHOICE MEDICAL, PLLC
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704
|
Plan administrator’s name and address
Administrator’s EIN |
364487963 |
Plan administrator’s name |
FIRST CHOICE MEDICAL, PLLC |
Plan administrator’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704 |
Administrator’s telephone number |
6315855858 |
Signature of
Role |
Plan administrator |
Date |
2012-07-09 |
Name of individual signing |
LAWRENCE GOLDMAN |
|
|
FIRST CHOICE MEDICAL, PLLC 401K PROFIT SHARING PLAN
|
2010
|
364487963
|
2011-09-22
|
FIRST CHOICE MEDICAL, PLLC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704
|
Plan administrator’s name and address
Administrator’s EIN |
364487963 |
Plan administrator’s name |
FIRST CHOICE MEDICAL, PLLC |
Plan administrator’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704 |
Administrator’s telephone number |
6315855858 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
LAWRENCE GOLDMAN |
|
|
FIRST CHOICE MEDICAL, PLLC 401K PROFIT SHARING PLAN
|
2009
|
364487963
|
2010-10-07
|
FIRST CHOICE MEDICAL, PLLC
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315855858
|
Plan sponsor’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704
|
Plan administrator’s name and address
Administrator’s EIN |
364487963 |
Plan administrator’s name |
FIRST CHOICE MEDICAL, PLLC |
Plan administrator’s
address |
203 UNION AVENUE, HOLBROOK, NY, 117411704 |
Administrator’s telephone number |
6315855858 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
LAWRENCE GOLDMAN |
|
|