CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2016
|
202288916
|
2017-06-13
|
CAPITAL RETINA ASSOCIATES, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
P.O. BOX 129, SLINGERLANDS, NY, 12159
|
Signature of
Role |
Plan administrator |
Date |
2017-06-12 |
Name of individual signing |
CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2016
|
202288916
|
2017-06-15
|
CAPITAL RETINA ASSOCIATES, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
7 JOHNSON ROAD, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2017-06-14 |
Name of individual signing |
CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2015
|
141828339
|
2016-05-11
|
CAPITAL RETINA ASSOCIATES, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
P.O. BOX 129, SLINGERLANDS, NY, 12159
|
Signature of
Role |
Plan administrator |
Date |
2016-05-09 |
Name of individual signing |
CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2014
|
141828339
|
2015-06-02
|
CAPITAL RETINA ASSOCIATES, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
P.O. BOX 129, SLINGERLANDS, NY, 12159
|
Signature of
Role |
Plan administrator |
Date |
2015-06-01 |
Name of individual signing |
CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2014
|
141828339
|
2015-06-01
|
CAPITAL RETINA ASSOCIATES, PLLC
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
P.O. BOX 129, SLINGERLANDS, NY, 12159
|
Signature of
Role |
Plan administrator |
Date |
2015-06-01 |
Name of individual signing |
CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2013
|
141828339
|
2014-09-17
|
CAPITAL RETINA ASSOCIATES, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
P.O. BOX 129, SLINGERLANDS, NY, 12159
|
Signature of
Role |
Plan administrator |
Date |
2014-09-15 |
Name of individual signing |
CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2012
|
141828339
|
2013-09-19
|
CAPITAL RETINA ASSOCIATES, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
P.O. BOX 129, SLINGERLANDS, NY, 12159
|
Signature of
Role |
Plan administrator |
Date |
2013-09-19 |
Name of individual signing |
CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2011
|
141828339
|
2012-05-04
|
CAPITAL RETINA ASSOCIATES, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
P.O. BOX 129, SLINGERLANDS, NY, 12159
|
Plan administrator’s name and address
Administrator’s EIN |
141828339 |
Plan administrator’s name |
CAPITAL RETINA ASSOCIATES, PLLC |
Plan administrator’s
address |
P.O. BOX 129, SLINGERLANDS, NY, 12159 |
Administrator’s telephone number |
5187851100 |
Signature of
Role |
Plan administrator |
Date |
2012-05-04 |
Name of individual signing |
DR. CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2010
|
141828339
|
2011-05-05
|
CAPITAL RETINA ASSOCIATES, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
70 JOHNSON ROAD, LATHAM, NY, 12110
|
Plan administrator’s name and address
Administrator’s EIN |
141828339 |
Plan administrator’s name |
CAPITAL RETINA ASSOCIATES, PLLC |
Plan administrator’s
address |
70 JOHNSON ROAD, LATHAM, NY, 12110 |
Administrator’s telephone number |
5187851100 |
Signature of
Role |
Plan administrator |
Date |
2011-05-05 |
Name of individual signing |
CHARLES MAYRON |
|
|
CAPITAL RETINA, PLLC RETIREMENT PLAN
|
2009
|
141828339
|
2010-10-08
|
CAPITAL RETINA ASSOCIATES, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5187851100
|
Plan sponsor’s
address |
70 JOHNSON ROAD, LATHAM, NY, 12110
|
Plan administrator’s name and address
Administrator’s EIN |
141828339 |
Plan administrator’s name |
CAPITAL RETINA ASSOCIATES, PLLC |
Plan administrator’s
address |
70 JOHNSON ROAD, LATHAM, NY, 12110 |
Administrator’s telephone number |
5187851100 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
CHARLES MAYRON |
|
|