SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC 401(K)
|
2019
|
200169008
|
2020-02-05
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2020-01-30 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC 401(K)
|
2018
|
200169008
|
2019-05-22
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2019-05-22 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC 401(K)
|
2017
|
200169008
|
2018-07-27
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC 401(K)
|
2016
|
200169008
|
2017-07-24
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2017-07-24 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC 401(K)
|
2015
|
200169008
|
2016-07-07
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|
SOUTHERN TIER OBSTETRICS GYNECOLOGY PC 401K
|
2014
|
200169008
|
2015-07-08
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC 401(K) PROFIT SHARING PLAN
|
2013
|
200169008
|
2014-07-11
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2014-06-24 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC 401(K) PROFIT SHARING PLAN
|
2012
|
200169008
|
2013-09-27
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2013-09-24 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC 401(K) PROFIT SHARING PLAN
|
2011
|
200169008
|
2012-10-02
|
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163078266
|
Plan sponsor’s
address |
P.O. BOX 570, OLEAN, NY, 14760
|
Plan administrator’s name and address
Administrator’s EIN |
200169008 |
Plan administrator’s name |
SOUTHERN TIER OBSTETRICS & GYNECOLOGY, P.C. |
Plan administrator’s
address |
P.O. BOX 570, OLEAN, NY, 14760 |
Administrator’s telephone number |
7163078266 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
FRANK K. KWAYKE-BERKO |
|
|