ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401(K) PLAN AND TRUST
|
2016
|
160982377
|
2017-12-20
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C.
|
24
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
360 LINDEN OAKS, SUITE 220, SUITE 220, ROCHESTER, NY, 14625
|
Signature of
Role |
Plan administrator |
Date |
2017-12-20 |
Name of individual signing |
KEVIN L. KOZARA, DO |
|
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401(K) PLAN AND TRUST
|
2016
|
160982377
|
2018-05-25
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
360 LINDEN OAKS, SUITE 220, SUITE 220, ROCHESTER, NY, 14625
|
Signature of
Role |
Plan administrator |
Date |
2018-05-25 |
Name of individual signing |
KEVIN L. KOZARA, DO |
|
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST
|
2015
|
160982377
|
2016-11-11
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
360 LINDEN OAKS, SUITE 220, ROCHESTER, NY, 14625
|
Signature of
Role |
Plan administrator |
Date |
2016-11-11 |
Name of individual signing |
KEVIN L. KOZARA, DO |
|
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST
|
2014
|
160982377
|
2015-12-04
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
360 LINDEN OAKS, SUITE 220, ROCHESTER, NY, 14625
|
Signature of
Role |
Plan administrator |
Date |
2015-12-04 |
Name of individual signing |
FRANK N. SALAMONE |
|
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST
|
2013
|
160982377
|
2014-09-30
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
2561 LAC DE VILLE BLVD., SUITE 100, ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2014-09-30 |
Name of individual signing |
FRANK N. SALAMONE |
|
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST
|
2012
|
160982377
|
2013-10-18
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
2561 LAC DEVILLE BLVD., SUITE 100, ROCHESTER, NY, 14618
|
Signature of
Role |
Plan administrator |
Date |
2013-10-18 |
Name of individual signing |
FRANK N. SALAMONE |
|
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST
|
2011
|
160982377
|
2012-09-28
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
2561 LAC DEVILLE BLVD., SUITE 100, ROCHESTER, NY, 14618
|
Plan administrator’s name and address
Administrator’s EIN |
160982377 |
Plan administrator’s name |
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. |
Plan administrator’s
address |
2561 LAC DEVILLE BLVD., SUITE 100, ROCHESTER, NY, 14618 |
Administrator’s telephone number |
5852443510 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
KEVIN L. KOZARA |
|
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401(K) PLAN AND TRUST
|
2010
|
160982377
|
2011-10-27
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
2561 LAC DE VILLE BLVD, SUITE 100, ROCHESTER, NY, 146185631
|
Plan administrator’s name and address
Administrator’s EIN |
160982377 |
Plan administrator’s name |
ROCHESTER OTOLARYNGOLOGY GROUP, P.C |
Plan administrator’s
address |
2561 LAC DE VILLE BLVD, SUITE 100, ROCHESTER, NY, 146185631 |
Administrator’s telephone number |
5852443510 |
Signature of
Role |
Plan administrator |
Date |
2011-10-27 |
Name of individual signing |
KEVIN L. KOZARA |
|
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401(K) PLAN AND TRUST
|
2009
|
160982377
|
2010-10-01
|
ROCHESTER OTOLARYNGOLOGY GROUP, P.C
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5852443510
|
Plan sponsor’s
address |
2561 LAC DE VILLE BLVD, SUITE 100, ROCHESTER, NY, 146185631
|
Plan administrator’s name and address
Administrator’s EIN |
160982377 |
Plan administrator’s name |
ROCHESTER OTOLARYNGOLOGY GROUP, P.C |
Plan administrator’s
address |
2561 LAC DE VILLE BLVD, SUITE 100, ROCHESTER, NY, 146185631 |
Administrator’s telephone number |
5852443510 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
PETER E. MULBURY, M.D. |
|
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