DEERFIELD FAMILY PRACTICE, PLLC PROFIT SHARING PLAN
|
2016
|
510483343
|
2017-12-19
|
DEERFIELD FAMILY PRACTICE, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2017-12-19 |
Name of individual signing |
JOSEPH BOOTH |
|
Role |
Employer/plan sponsor |
Date |
2017-12-19 |
Name of individual signing |
JOSEPH BOOTH |
|
|
DEERFIELD FAMILY PRACTICE PROFIT SHARING PLAN
|
2016
|
510483343
|
2017-06-07
|
DEERFIELD FAMILY PRACTICE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2017-06-07 |
Name of individual signing |
JOSEPH C BOOTH |
|
Role |
Employer/plan sponsor |
Date |
2017-06-07 |
Name of individual signing |
JOSEPH C BOOTH |
|
|
DEERFIELD FAMILY PRACTICE PROFIT SHARING PLAN
|
2015
|
510483343
|
2016-07-29
|
DEERFIELD FAMILY PRACTICE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
JOSEPH BOOTH |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
JOSEPH BOOTH |
|
|
DEERFIELD FAMILY PRACTICE, PLLC PROFIT SHARING PLAN
|
2014
|
510483343
|
2015-09-18
|
DEERFIELD FAMILY PRACTICE, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2015-09-18 |
Name of individual signing |
JOSEPH BOOTH |
|
|
DEERFIELD FAMILY PRACTICE, PLLC PROFIT SHARING PLAN
|
2013
|
510483343
|
2014-07-29
|
DEERFIELD FAMILY PRACTICE, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2014-07-23 |
Name of individual signing |
JOSEPH BOOTH |
|
|
DEERFIELD FAMILY PRACTICE, PLLC PROFIT SHARING PLAN
|
2012
|
510483343
|
2013-09-09
|
DEERFIELD FAMILY PRACTICE, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
JOSEPH BOOTH |
|
|
DEERFIELD FAMILY PRACTICE, PLLC PROFIT SHARING PLAN
|
2011
|
510483343
|
2012-07-24
|
DEERFIELD FAMILY PRACTICE, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
510483343 |
Plan administrator’s name |
DEERFIELD FAMILY PRACTICE, PLLC |
Plan administrator’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502 |
Administrator’s telephone number |
3157247999 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
JOSEPH BOOTH |
|
|
DEERFIELD FAMILY PRACTICE, PLLC PROFIT SHARING PLAN
|
2010
|
510483343
|
2011-07-19
|
DEERFIELD FAMILY PRACTICE, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
510483343 |
Plan administrator’s name |
DEERFIELD FAMILY PRACTICE, PLLC |
Plan administrator’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502 |
Administrator’s telephone number |
3157247999 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
JOSEPH BOOTH |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
JOSEPH BOOTH |
|
|
DEERFIELD FAMILY PRACTICE, PLLC PROFIT SHARING PLAN
|
2009
|
510483343
|
2010-07-23
|
DEERFIELD FAMILY PRACTICE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157247999
|
Plan sponsor’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502
|
Plan administrator’s name and address
Administrator’s EIN |
510483343 |
Plan administrator’s name |
DEERFIELD FAMILY PRACTICE, PLLC |
Plan administrator’s
address |
5592 TRENTON ROAD, UTICA, NY, 13502 |
Administrator’s telephone number |
3157247999 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
JOSEPH BOOTH |
|
Role |
Employer/plan sponsor |
Date |
2010-07-23 |
Name of individual signing |
JOSEPH BOOTH |
|
|