LAWRENCE MARC JACOBSON MD PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
043642161
|
2022-09-15
|
LAWRENCE MARC JACOBSON MD PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-09-15 |
Name of individual signing |
LAWRENCE JACOBSON |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
043642161
|
2022-03-30
|
LAWRENCE MARC JACOBSON, MD, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
2129819812
|
Plan sponsor’s
address |
40 PARK AVE, NEW YORK, NY, 100163467
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
ANTHONY WARD AS ATTORNEY |
|
|