GROUP VOLUNTARY DENTAL INSURANCE FOR THE EMPLOYEES OF PM PEDIATRICS MANAGEMENT GROUP, LLC
|
2014
|
331067457
|
2015-10-09
|
PM PEDIATRICS MANAGEMENT GROUP, LLC
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2007-04-01
|
Business code |
561110
|
Sponsor’s telephone number |
5168690650
|
Plan sponsor’s mailing address |
ONE HOLLOW LANE, SUITE 301, LAKE SUCCESS, NY, 11042
|
Plan sponsor’s
address |
ONE HOLLOW LANE, SUITE 301, LAKE SUCCESS, NY, 11042
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
RACHEL FRIEDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
RACHEL FRIEDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF PM PEDIATRICS MANAGEMENT GROUP, LLC
|
2014
|
331067457
|
2015-10-09
|
PM PEDIATRICS MANAGEMENT GROUP, LLC
|
229
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5168690650
|
Plan sponsor’s mailing address |
ONE HOLLOW LANE, SUITE 301, LAKE SUCCESS, NY, 11042
|
Plan sponsor’s
address |
ONE HOLLOW LANE, SUITE 301, LAKE SUCCESS, NY, 11042
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
RACHEL FRIEDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
RACHEL FRIEDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL INSURANCE FOR THE EMPLOYEES OF PM PEDIATRICS MANAGEMENT GROUP, LLC
|
2013
|
331067457
|
2014-10-30
|
PM PEDIATRICS MANAGEMENT GROUP, LLC
|
164
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5168690650
|
Plan sponsor’s mailing address |
ONE HOLLOW LANE, SUITE 301, LAKE SUCCESS, NY, 11042
|
Plan sponsor’s
address |
ONE HOLLOW LANE, SUITE 301, LAKE SUCCESS, NY, 11042
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-30 |
Name of individual signing |
RACHEL FRIEDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-30 |
Name of individual signing |
RACHEL FRIEDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PM PEDIATRICS MANAGEMENT GROUP, LLC 401(K) PLAN
|
2013
|
331067457
|
2014-06-05
|
PM PEDIATRICS MANAGEMENT GROUP, LLC
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
5168690650
|
Plan sponsor’s
address |
ONE HOLLOW LANE, SUITE 100, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
331067457 |
Plan administrator’s name |
PM PEDIATRICS MANAGEMENT GROUP, LLC |
Plan administrator’s
address |
ONE HOLLOW LANE, SUITE 100, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5168690650 |
Signature of
Role |
Plan administrator |
Date |
2014-06-05 |
Name of individual signing |
RACHEL FRIEDMAN |
|
|
PM PEDIATRICS MANAGEMENT GROUP, LLC 401(K) PLAN
|
2012
|
331067457
|
2013-04-25
|
PM PEDIATRICS MANAGEMENT GROUP, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
5168690650
|
Plan sponsor’s
address |
ONE HOLLOW LANE, SUITE 100, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
331067457 |
Plan administrator’s name |
PM PEDIATRICS MANAGEMENT GROUP, LLC |
Plan administrator’s
address |
ONE HOLLOW LANE, SUITE 100, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5168690650 |
Signature of
Role |
Plan administrator |
Date |
2013-04-25 |
Name of individual signing |
RACHEL FRIEDMAN |
|
|
PM PEDIATRICS MANAGEMENT GROUP, LLC 401(K) PLAN
|
2011
|
331067457
|
2012-04-25
|
PM PEDIATRICS MANAGEMENT GROUP, LLC
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
5168690650
|
Plan sponsor’s
address |
ONE HOLLOW LANE, SUITE 100, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
331067457 |
Plan administrator’s name |
PM PEDIATRICS MANAGEMENT GROUP, LLC |
Plan administrator’s
address |
ONE HOLLOW LANE, SUITE 100, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5168690650 |
Signature of
Role |
Plan administrator |
Date |
2012-04-25 |
Name of individual signing |
RACHEL FRIEDMAN |
|
|
PM PEDIATRICS MANAGEMENT GROUP, LLC 401(K) PLAN
|
2010
|
331067457
|
2011-06-28
|
PM PEDIATRICS MANAGEMENT GROUP, LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
5168690650
|
Plan sponsor’s
address |
ONE HOLLOW LANE, SUITE 100, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
331067457 |
Plan administrator’s name |
PM PEDIATRICS MANAGEMENT GROUP, LLC |
Plan administrator’s
address |
ONE HOLLOW LANE, SUITE 100, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5168690650 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
RACHEL FRIEDMAN |
|
|