|
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN
|
2011
|
201689700
|
2012-01-18
|
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5185843085
|
| Plan sponsor’s
address |
63 PIPING ROCK CIRCLE, SARATOGA SPRINGS, NY, 128669705
|
Plan administrator’s name and address
| Administrator’s EIN |
201689700 |
| Plan administrator’s name |
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC |
| Plan administrator’s
address |
63 PIPING ROCK CIRCLE, SARATOGA SPRINGS, NY, 128669705 |
| Administrator’s telephone number |
5185843085 |
Signature of
| Role |
Plan administrator |
| Date |
2012-01-18 |
| Name of individual signing |
GERALD NOEL |
|
|
|
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN
|
2010
|
201689700
|
2011-07-07
|
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5185843085
|
| Plan sponsor’s
address |
63 PIPING ROCK CIRCLE, SARATOGA S, NY, 128669705
|
Plan administrator’s name and address
| Administrator’s EIN |
201689700 |
| Plan administrator’s name |
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC |
| Plan administrator’s
address |
63 PIPING ROCK CIRCLE, SARATOGA S, NY, 128669705 |
| Administrator’s telephone number |
5185843085 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-07 |
| Name of individual signing |
BRIAN J. IZZO, MD |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-07 |
| Name of individual signing |
BRIAN J. IZZO, MD |
|
|
|
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN
|
2009
|
201689700
|
2010-07-14
|
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5185843085
|
| Plan sponsor’s
address |
63 PIPING ROCK CIRCLE, SARATOGA SPRINGS, NY, 128669705
|
Plan administrator’s name and address
| Administrator’s EIN |
201689700 |
| Plan administrator’s name |
BRIAN J. IZZO, M.D. FAMILY MEDICINE, PLLC |
| Plan administrator’s
address |
63 PIPING ROCK CIRCLE, SARATOGA SPRINGS, NY, 128669705 |
| Administrator’s telephone number |
5185843085 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-14 |
| Name of individual signing |
BRIAN J. IZZO, MD |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-14 |
| Name of individual signing |
BRIAN J. IZZO, MD |
|
|
