ELITE MEDICAL P.C. 401K PLAN
|
2015
|
112233125
|
2016-12-03
|
ELITE MEDICAL P.C.
|
24
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111 STE 14, SMITHTOWN, NY, 117874759
|
Signature of
Role |
Plan administrator |
Date |
2016-07-30 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401K PLAN
|
2015
|
112233125
|
2016-12-05
|
ELITE MEDICAL P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111 STE 14, SMITHTOWN, NY, 117874759
|
Signature of
Role |
Plan administrator |
Date |
2016-12-03 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401K PLAN
|
2015
|
112233125
|
2016-12-05
|
ELITE MEDICAL P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111 STE 14, SMITHTOWN, NY, 117874759
|
Signature of
Role |
Plan administrator |
Date |
2016-12-03 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401K PLAN
|
2014
|
112233125
|
2015-09-20
|
ELITE MEDICAL P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2015-09-15 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401K PLAN
|
2013
|
112233125
|
2014-10-14
|
ELITE MEDICAL P.C.
|
20
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401K PLAN
|
2013
|
112233125
|
2015-05-29
|
ELITE MEDICAL P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2015-05-29 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401K PLAN
|
2012
|
112233125
|
2013-10-03
|
ELITE MEDICAL P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787
|
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401K PLAN
|
2011
|
112233125
|
2012-10-01
|
ELITE MEDICAL P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787
|
Plan administrator’s name and address
Administrator’s EIN |
112233125 |
Plan administrator’s name |
ELITE MEDICAL P.C. |
Plan administrator’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787 |
Administrator’s telephone number |
6312657577 |
Signature of
Role |
Plan administrator |
Date |
2012-09-30 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401(K) PLAN
|
2010
|
112233125
|
2011-09-21
|
ELITE MEDICAL P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787
|
Plan administrator’s name and address
Administrator’s EIN |
112233125 |
Plan administrator’s name |
ELITE MEDICAL P.C. |
Plan administrator’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787 |
Administrator’s telephone number |
6312657577 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
JAY SCHNEIDER |
|
|
ELITE MEDICAL P.C. 401(K) PLAN
|
2009
|
112233125
|
2010-10-07
|
ELITE MEDICAL P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312657577
|
Plan sponsor’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787
|
Plan administrator’s name and address
Administrator’s EIN |
112233125 |
Plan administrator’s name |
ELITE MEDICAL P.C. |
Plan administrator’s
address |
373 ROUTE 111, SUITE 14, SMITHTOWN, NY, 11787 |
Administrator’s telephone number |
6312657577 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
JAY SCHNEIDER |
|
|