LONG ISLAND PLASTIC SURGICAL GROUP, P.C. 401(K) SAVINGS PLAN
|
2011
|
112217789
|
2012-09-27
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5167423404
|
Plan sponsor’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530
|
Plan administrator’s name and address
Administrator’s EIN |
112217789 |
Plan administrator’s name |
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. |
Plan administrator’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530 |
Administrator’s telephone number |
5167423404 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
BARRY DOUGLAS |
|
Role |
Employer/plan sponsor |
Date |
2012-09-25 |
Name of individual signing |
BARRY DOUGLAS |
|
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. 401(K) SAVINGS PLAN
|
2010
|
112217789
|
2011-04-06
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C.
|
102
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5167423404
|
Plan sponsor’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530
|
Plan administrator’s name and address
Administrator’s EIN |
112217789 |
Plan administrator’s name |
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. |
Plan administrator’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530 |
Administrator’s telephone number |
5167423404 |
Signature of
Role |
Plan administrator |
Date |
2011-04-05 |
Name of individual signing |
BARRY DOUGLAS |
|
Role |
Employer/plan sponsor |
Date |
2011-04-05 |
Name of individual signing |
BARRY DOUGLAS |
|
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. 401(K) SAVINGS PLAN
|
2010
|
112217789
|
2011-04-20
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C.
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5167423404
|
Plan sponsor’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530
|
Plan administrator’s name and address
Administrator’s EIN |
112217789 |
Plan administrator’s name |
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. |
Plan administrator’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530 |
Administrator’s telephone number |
5167423404 |
Signature of
Role |
Plan administrator |
Date |
2011-04-20 |
Name of individual signing |
BARRY DOUGLAS |
|
Role |
Employer/plan sponsor |
Date |
2011-04-20 |
Name of individual signing |
BARRY DOUGLAS |
|
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. 401(K) SAVINGS PLAN
|
2010
|
112217789
|
2011-04-20
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C.
|
102
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5167423404
|
Plan sponsor’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530
|
Plan administrator’s name and address
Administrator’s EIN |
112217789 |
Plan administrator’s name |
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. |
Plan administrator’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530 |
Administrator’s telephone number |
5167423404 |
Signature of
Role |
Plan administrator |
Date |
2011-04-20 |
Name of individual signing |
BARRY DOUGLAS |
|
Role |
Employer/plan sponsor |
Date |
2011-04-20 |
Name of individual signing |
BARRY DOUGLAS |
|
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. 401(K) SAVINGS PLAN
|
2009
|
112217789
|
2010-07-23
|
LONG ISLAND PLASTIC SURGICAL GROUP, P.C.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5167423404
|
Plan sponsor’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530
|
Plan administrator’s name and address
Administrator’s EIN |
112217789 |
Plan administrator’s name |
LONG ISLAND PLASTIC SURGICAL GROUP, P.C. |
Plan administrator’s
address |
999 FRANKLIN AVENUE, GARDEN CITY, NY, 11530 |
Administrator’s telephone number |
5167423404 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
BARRY DOUGLAS |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
BARRY DOUGLAS |
|
|