TUXEDO PEDIATRICS PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
201379019
|
2020-03-17
|
TUXEDO PEDIATRICS PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Signature of
Role |
Plan administrator |
Date |
2020-03-17 |
Name of individual signing |
JANICE MONTAGUE |
|
|
TUXEDO PEDIATRICS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
201379019
|
2019-07-05
|
TUXEDO PEDIATRICS PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Signature of
Role |
Plan administrator |
Date |
2019-07-05 |
Name of individual signing |
JANICE MONTAGUE |
|
|
TUXEDO PEDIATRICS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
201379019
|
2018-04-02
|
TUXEDO PEDIATRICS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Signature of
Role |
Plan administrator |
Date |
2018-04-02 |
Name of individual signing |
JANICE MONTAGUE |
|
|
TUXEDO PEDIATRICS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
201379019
|
2017-06-08
|
TUXEDO PEDIATRICS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Signature of
Role |
Plan administrator |
Date |
2017-06-08 |
Name of individual signing |
JANICE MONTAGUE |
|
|
TUXEDO PEDIATRICS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
201379019
|
2016-07-18
|
TUXEDO PEDIATRICS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
JANICE MONTAGUE |
|
|
TUXEDO PEDIATRICS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
201379019
|
2015-07-20
|
TUXEDO PEDIATRICS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
JANICE MONTAGUE |
|
|
TUXEDO PEDIATRICS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
201379019
|
2014-05-22
|
TUXEDO PEDIATRICS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Signature of
Role |
Plan administrator |
Date |
2014-05-22 |
Name of individual signing |
JANICE MONTAGUE |
|
|
TUXEDO PEDIATRICS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
201379019
|
2013-05-19
|
TUXEDO PEDIATRICS PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Signature of
Role |
Plan administrator |
Date |
2013-05-19 |
Name of individual signing |
TUXEDO PEDIATRICS PLLC |
|
|
TUXEDO PEDIATRICS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
201379019
|
2012-06-01
|
TUXEDO PEDIATRICS PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453693550
|
Plan sponsor’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831
|
Plan administrator’s name and address
Administrator’s EIN |
201379019 |
Plan administrator’s name |
TUXEDO PEDIATRICS PLLC |
Plan administrator’s
address |
257 LAFAYETTE AVE STE 290, SUFFERN, NY, 109014831 |
Administrator’s telephone number |
8453693550 |
Signature of
Role |
Plan administrator |
Date |
2012-06-01 |
Name of individual signing |
TUXEDO PEDIATRICS PLLC |
|
|