THE BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
112230877
|
2012-06-22
|
BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1971-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188337616
|
Plan sponsor’s
address |
9921 FOURTH AVENUE, BROOKLYN, NY, 11209
|
Plan administrator’s name and address
Administrator’s EIN |
112230877 |
Plan administrator’s name |
BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C. |
Plan administrator’s
address |
9921 FOURTH AVENUE, BROOKLYN, NY, 11209 |
Administrator’s telephone number |
7188337616 |
Signature of
Role |
Plan administrator |
Date |
2012-06-15 |
Name of individual signing |
DAVID BIRO |
|
Role |
Employer/plan sponsor |
Date |
2012-06-15 |
Name of individual signing |
DAVID BIRO |
|
|
THE BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
112230877
|
2011-07-27
|
BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1971-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188337616
|
Plan sponsor’s
address |
9921 FOURTH AVENUE, BROOKLYN, NY, 11209
|
Plan administrator’s name and address
Administrator’s EIN |
112230877 |
Plan administrator’s name |
BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C. |
Plan administrator’s
address |
9921 FOURTH AVENUE, BROOKLYN, NY, 11209 |
Administrator’s telephone number |
7188337616 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
DAVID BIRO |
|
Role |
Employer/plan sponsor |
Date |
2011-07-27 |
Name of individual signing |
DAVID BIRO |
|
|
THE BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
112230877
|
2011-07-19
|
BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C.
|
17
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1971-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188337616
|
Plan sponsor’s
address |
9921 FOURTH AVENUE, BROOKLYN, NY, 11209
|
Plan administrator’s name and address
Administrator’s EIN |
112230877 |
Plan administrator’s name |
BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C. |
Plan administrator’s
address |
9921 FOURTH AVENUE, BROOKLYN, NY, 11209 |
Administrator’s telephone number |
7188337616 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
DAVID BIRO |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
DAVID BIRO |
|
|
THE BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
112230877
|
2011-07-22
|
BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C.
|
17
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1971-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188337616
|
Plan sponsor’s
address |
9921 FOURTH AVENUE, BROOKLYN, NY, 11209
|
Plan administrator’s name and address
Administrator’s EIN |
112230877 |
Plan administrator’s name |
BAY RIDGE SKIN & CANCER DERMATOLOGY, P.C. |
Plan administrator’s
address |
9921 FOURTH AVENUE, BROOKLYN, NY, 11209 |
Administrator’s telephone number |
7188337616 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
DAVID BIRO |
|
Role |
Employer/plan sponsor |
Date |
2011-07-22 |
Name of individual signing |
DAVID BIRO |
|
|