EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2023
|
160983042
|
2024-08-19
|
EAST HILL FAMILY MEDICAL, INC.
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152538477
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 500, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2024-08-19 |
Name of individual signing |
CHRISTOPHER DANIEL |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2022
|
160983042
|
2023-09-07
|
EAST HILL FAMILY MEDICAL, INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152538477
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 500, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2023-09-07 |
Name of individual signing |
CHRISTOPHER DANIEL |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2021
|
160983042
|
2022-07-29
|
EAST HILL FAMILY MEDICAL, INC.
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152538477
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 500, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
CHRISTOPHER DANIEL |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2020
|
160983042
|
2021-10-07
|
EAST HILL FAMILY MEDICAL, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152538477
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 500, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2021-10-07 |
Name of individual signing |
CORINNE AVILES |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2019
|
160983042
|
2020-08-10
|
EAST HILL FAMILY MEDICAL, INC.
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152538477
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 500, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2020-08-10 |
Name of individual signing |
MELODY PONZI |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2018
|
160983042
|
2019-07-25
|
EAST HILL FAMILY MEDICAL, INC.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152538477
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 500, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
MELISSA SCHRADER BARCOMB |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2017
|
160983042
|
2018-10-12
|
EAST HILL FAMILY MEDICAL, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152538477
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 500, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
MELISSA SCHRADER BARCOMB |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2016
|
160983042
|
2017-11-03
|
EAST HILL FAMILY MEDICAL, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152536796
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 201, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2017-11-03 |
Name of individual signing |
MELISSA SCHRADER BARCOMB |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2016
|
160983042
|
2017-10-23
|
EAST HILL FAMILY MEDICAL, INC.
|
98
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3152536796
|
Plan sponsor’s
address |
144 GENESEE STREET, SUITE 201, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2017-10-23 |
Name of individual signing |
MELISSA SCHRADER BARCOMB |
|
|
EMPLOYEE BENEFIT PLAN OF EAST HILL FAMILY MEDICAL, INC.
|
2015
|
160983042
|
2016-08-01
|
EAST HILL FAMILY MEDICAL, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
624100
|
Sponsor’s telephone number |
3152536796
|
Plan sponsor’s
address |
144 GENESEE ST STE 201, AUBURN, NY, 13021
|
Signature of
Role |
Plan administrator |
Date |
2016-08-01 |
Name of individual signing |
MICHAEL COLLINS |
|
Role |
Employer/plan sponsor |
Date |
2016-08-01 |
Name of individual signing |
MICHAEL COLLINS |
|
|