LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
201268919
|
2019-07-30
|
LAMB FAMILY MEDICINE PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
PO BOX 948, BATAVIA, NY, 140210948
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
DANA LAMB |
|
|
LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
201268919
|
2017-07-28
|
LAMB FAMILY MEDICINE PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS ST, BATAVIA, NY, 140203110
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
DANA LAMB |
|
|
LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
201268919
|
2016-07-28
|
LAMB FAMILY MEDICINE PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS ST, BATAVIA, NY, 140203110
|
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
DANA LAMB |
|
|
LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
201268919
|
2015-08-07
|
LAMB FAMILY MEDICINE PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS ST, BATAVIA, NY, 140203110
|
Signature of
Role |
Plan administrator |
Date |
2015-08-07 |
Name of individual signing |
DANA E LAMB |
|
|
LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
201268919
|
2014-06-05
|
LAMB FAMILY MEDICINE PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS ST, BATAVIA, NY, 140203110
|
Signature of
Role |
Plan administrator |
Date |
2014-06-05 |
Name of individual signing |
DANA E LAMB |
|
|
LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
201268919
|
2013-07-25
|
LAMB FAMILY MEDICINE PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS ST, BATAVIA, NY, 140203110
|
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
LAMB FAMILY MEDICINE PLLC |
|
|
LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
201268919
|
2012-07-11
|
LAMB FAMILY MEDICINE PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS ST, BATAVIA, NY, 140203110
|
Plan administrator’s name and address
Administrator’s EIN |
201268919 |
Plan administrator’s name |
LAMB FAMILY MEDICINE PLLC |
Plan administrator’s
address |
7 EVANS ST, BATAVIA, NY, 140203110 |
Administrator’s telephone number |
5853431250 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
LAMB FAMILY MEDICINE PLLC |
|
|
LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
201268919
|
2011-07-28
|
LAMB FAMILY MEDICINE PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS STREET, BATAVIA, NY, 14020
|
Plan administrator’s name and address
Administrator’s EIN |
201268919 |
Plan administrator’s name |
LAMB FAMILY MEDICINE PLLC |
Plan administrator’s
address |
7 EVANS STREET, BATAVIA, NY, 14020 |
Administrator’s telephone number |
5853431250 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
LAMB FAMILY MEDICINE PLLC |
|
|
LAMB FAMILY MEDICINE PLLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
201268919
|
2011-07-28
|
LAMB FAMILY MEDICINE PLLC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS STREET, BATAVIA, NY, 14020
|
Plan administrator’s name and address
Administrator’s EIN |
201268919 |
Plan administrator’s name |
LAMB FAMILY MEDICINE PLLC |
Plan administrator’s
address |
7 EVANS STREET, BATAVIA, NY, 14020 |
Administrator’s telephone number |
5853431250 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
LAMB FAMILY MEDICINE PLLC |
|
|
LAMB FAMILY MEDICINE PLLC
|
2009
|
201268919
|
2010-07-01
|
LAMB FAMILY MEDICINE PLLC
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423450
|
Sponsor’s telephone number |
5853431250
|
Plan sponsor’s
address |
7 EVANS STREET, BATAVIA, NY, 14020
|
Plan administrator’s name and address
Administrator’s EIN |
201268919 |
Plan administrator’s name |
LAMB FAMILY MEDICINE PLLC |
Plan administrator’s
address |
7 EVANS STREET, BATAVIA, NY, 14020 |
Administrator’s telephone number |
5853431250 |
Signature of
Role |
Plan administrator |
Date |
2010-07-01 |
Name of individual signing |
LAMB FAMILY MEDICINE PLLC |
|
|