BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN
|
2023
|
200257463
|
2024-06-03
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
6312315070
|
Plan sponsor’s
address |
1464 5TH AVE., BAY SHORE, NY, 11706
|
Signature of
Role |
Plan administrator |
Date |
2024-05-30 |
Name of individual signing |
JUAN ESPINOZA |
|
Role |
Employer/plan sponsor |
Date |
2024-05-30 |
Name of individual signing |
JUAN ESPINOZA |
|
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN
|
2022
|
200257463
|
2023-06-28
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
6312315070
|
Plan sponsor’s
address |
1464 5TH AVE., BAY SHORE, NY, 11706
|
Signature of
Role |
Plan administrator |
Date |
2023-06-26 |
Name of individual signing |
JUAN ESPINOZA |
|
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN
|
2021
|
200257463
|
2022-08-16
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
6312315070
|
Plan sponsor’s
address |
1464 5TH AVE., BAY SHORE, NY, 11706
|
Signature of
Role |
Plan administrator |
Date |
2022-08-16 |
Name of individual signing |
JUAN ESPINOZA |
|
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN
|
2020
|
200257463
|
2021-06-28
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
6312315070
|
Plan sponsor’s
address |
1464 5TH AVE., BAY SHORE, NY, 11706
|
Signature of
Role |
Plan administrator |
Date |
2021-06-28 |
Name of individual signing |
JUAN ESPINOZA |
|
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN
|
2019
|
200257463
|
2020-07-23
|
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
6312315070
|
Plan sponsor’s
address |
1464 5TH AVE., BAY SHORE, NY, 11706
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
JUAN ESPINOZA |
|
|