RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2017
|
200246444
|
2018-10-03
|
RICHARD S. OBEDIAN, M.D., PLLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
PO BOX 1118, SYOSSET, NY, 11791
|
Signature of
Role |
Plan administrator |
Date |
2018-10-03 |
Name of individual signing |
RICHARD OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2018-10-03 |
Name of individual signing |
RICHARD OBEDIAN |
|
|
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2016
|
200246444
|
2017-09-05
|
RICHARD S. OBEDIAN, M.D., PLLC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
PO BOX 1118, SYOSSET, NY, 11791
|
Signature of
Role |
Plan administrator |
Date |
2017-09-05 |
Name of individual signing |
RICHARD OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2017-09-05 |
Name of individual signing |
RICHARD OBEDIAN |
|
|
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2015
|
200246444
|
2016-09-14
|
RICHARD S. OBEDIAN, M.D., PLLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
PO BOX 1118, SYOSSET, NY, 11791
|
Signature of
Role |
Plan administrator |
Date |
2016-09-14 |
Name of individual signing |
RICHARD OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2016-09-14 |
Name of individual signing |
RICHARD OBEDIAN |
|
|
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2014
|
200246444
|
2015-09-16
|
RICHARD S. OBEDIAN, M.D., PLLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
81 N. BROADWAY, HICKSVILLE, NY, 11801
|
Signature of
Role |
Plan administrator |
Date |
2015-09-16 |
Name of individual signing |
RICHARD OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2015-09-16 |
Name of individual signing |
RICHARD OBEDIAN |
|
|
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2013
|
200246444
|
2014-09-22
|
RICHARD S. OBEDIAN, M.D., PLLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
81 N. BROADWAY, HICKSVILLE, NY, 11801
|
Signature of
Role |
Plan administrator |
Date |
2014-09-22 |
Name of individual signing |
RICHARD OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2014-09-22 |
Name of individual signing |
RICHARD OBEDIAN |
|
|
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2012
|
200246444
|
2013-10-14
|
RICHARD S. OBEDIAN, M.D., PLLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
81 N. BROADWAY, HICKSVILLE, NY, 11801
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
RICHARD OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
RICHARD OBEDIAN |
|
|
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2011
|
200246444
|
2012-10-10
|
RICHARD S. OBEDIAN, M.D., PLLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
305 CIRCLE ROAD, SYOSSET, NY, 11791
|
Plan administrator’s name and address
Administrator’s EIN |
200246444 |
Plan administrator’s name |
RICHARD S. OBEDIAN, M.D., PLLC |
Plan administrator’s
address |
305 CIRCLE ROAD, SYOSSET, NY, 11791 |
Administrator’s telephone number |
5169334350 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
ROYA OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
ROYA OBEDIAN |
|
|
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2010
|
200246444
|
2011-10-14
|
RICHARD S. OBEDIAN, M.D., PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
305 CIRCLE ROAD, SYOSSET, NY, 11791
|
Plan administrator’s name and address
Administrator’s EIN |
200246444 |
Plan administrator’s name |
RICHARD S. OBEDIAN, M.D., PLLC |
Plan administrator’s
address |
305 CIRCLE ROAD, SYOSSET, NY, 11791 |
Administrator’s telephone number |
5169334350 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
ROYA OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2011-10-14 |
Name of individual signing |
ROYA OBEDIAN |
|
|
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN
|
2009
|
200246444
|
2010-09-23
|
RICHARD S. OBEDIAN, M.D., PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169334350
|
Plan sponsor’s
address |
305 CIRCLE ROAD, SYOSSET, NY, 11791
|
Plan administrator’s name and address
Administrator’s EIN |
200246444 |
Plan administrator’s name |
RICHARD S. OBEDIAN, M.D., PLLC |
Plan administrator’s
address |
305 CIRCLE ROAD, SYOSSET, NY, 11791 |
Administrator’s telephone number |
5169334350 |
Signature of
Role |
Plan administrator |
Date |
2010-09-23 |
Name of individual signing |
ROYA OBEDIAN |
|
Role |
Employer/plan sponsor |
Date |
2010-09-23 |
Name of individual signing |
ROYA OBEDIAN |
|
|