WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN
|
2016
|
201273337
|
2017-04-19
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2017-04-19 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2017-04-19 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. DEFINED BENEFIT PLAN
|
2016
|
201273337
|
2017-07-20
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
WILLIAM MCCORMICK, MD |
|
Role |
Employer/plan sponsor |
Date |
2017-07-20 |
Name of individual signing |
WILLIAM MCCORMICK, MD |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN
|
2015
|
201273337
|
2016-07-29
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2016-07-28 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. DEFINED BENEFIT PLAN
|
2015
|
201273337
|
2017-07-18
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
15
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2016-12-14 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2016-12-14 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. DEFINED BENEFIT PLAN
|
2015
|
201273337
|
2016-07-19
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2016-07-15 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN
|
2014
|
201273337
|
2015-06-30
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2015-06-30 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2015-06-30 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. DEFINED BENEFIT PLAN
|
2014
|
201273337
|
2015-06-30
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2015-06-30 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2015-06-30 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN
|
2013
|
201273337
|
2014-06-26
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2014-06-26 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2014-06-26 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN
|
2012
|
201273337
|
2013-07-16
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN
|
2011
|
201273337
|
2012-05-25
|
WILLIAM E. MCCORMICK, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314225371
|
Plan sponsor’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
|
Plan administrator’s name and address
Administrator’s EIN |
201273337 |
Plan administrator’s name |
WILLIAM E. MCCORMICK, M.D., P.C. |
Plan administrator’s
address |
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795 |
Administrator’s telephone number |
6314225371 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
WILLIAM MCCORMICK |
|
Role |
Employer/plan sponsor |
Date |
2012-05-25 |
Name of individual signing |
WILLIAM MCCORMICK |
|
|