SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2023
|
562298593
|
2024-08-19
|
SPRINGVILLE PEDIATRICS, LLP
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2024-08-16 |
Name of individual signing |
ROBBIN HANSEN |
|
Role |
Employer/plan sponsor |
Date |
2024-08-16 |
Name of individual signing |
ROBBIN HANSEN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2022
|
562298593
|
2023-05-30
|
SPRINGVILLE PEDIATRICS, LLP
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2023-05-25 |
Name of individual signing |
ROBBIN HANSEN |
|
Role |
Employer/plan sponsor |
Date |
2023-05-25 |
Name of individual signing |
ROBBIN HANSEN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2021
|
562298593
|
2022-05-11
|
SPRINGVILLE PEDIATRICS, LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2022-05-11 |
Name of individual signing |
ROBBIN HANSEN |
|
Role |
Employer/plan sponsor |
Date |
2022-05-11 |
Name of individual signing |
ROBBIN HANSEN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2020
|
562298593
|
2021-07-29
|
SPRINGVILLE PEDIATRICS, LLP
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
ROBBIN HANSEN |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
ROBBIN HANSEN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2019
|
562298593
|
2020-07-07
|
SPRINGVILLE PEDIATRICS, LLP
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2020-07-07 |
Name of individual signing |
ROBBIN HANSEN |
|
Role |
Employer/plan sponsor |
Date |
2020-07-07 |
Name of individual signing |
ROBBIN HANSEN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2018
|
562298593
|
2019-07-08
|
SPRINGVILLE PEDIATRICS, LLP
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2019-07-08 |
Name of individual signing |
ROBBIN HANSEN |
|
Role |
Employer/plan sponsor |
Date |
2019-07-08 |
Name of individual signing |
ROBBIN HANSEN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2017
|
562298593
|
2018-05-18
|
SPRINGVILLE PEDIATRICS, LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2018-05-17 |
Name of individual signing |
J WILLIAM CANAVAN |
|
Role |
Employer/plan sponsor |
Date |
2018-05-17 |
Name of individual signing |
J WILLIAM CANAVAN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2016
|
562298593
|
2017-05-26
|
SPRINGVILLE PEDIATRICS, LLP
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2017-05-25 |
Name of individual signing |
J WILLIAM CANAVAN |
|
Role |
Employer/plan sponsor |
Date |
2017-05-25 |
Name of individual signing |
J WILLIAM CANAVAN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2015
|
562298593
|
2016-06-10
|
SPRINGVILLE PEDIATRICS, LLP
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2016-06-09 |
Name of individual signing |
J WILLIAM CANAVAN |
|
Role |
Employer/plan sponsor |
Date |
2016-06-09 |
Name of individual signing |
J WILLIAM CANAVAN |
|
|
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN
|
2014
|
562298593
|
2015-06-11
|
SPRINGVILLE PEDIATRICS, LLP
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165922832
|
Plan sponsor’s
address |
25 EAST MAIN ST., SPRINGVILLE, NY, 14141
|
Signature of
Role |
Plan administrator |
Date |
2015-06-11 |
Name of individual signing |
J WILLIAM CANAVAN |
|
Role |
Employer/plan sponsor |
Date |
2015-06-11 |
Name of individual signing |
J WILLIAM CANAVAN |
|
|