|
STEPHEN W. HORNYAK, M.D., P.C. PROFIT SHARING TRUST
|
2010
|
132697275
|
2011-07-13
|
STEPHEN W. HORNYAK, M.D., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
1988-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7184423400
|
| Plan sponsor’s mailing address |
200 PARK AVENUE, 53RD FLOOR, NEW YORK, NY, 10166
|
| Plan sponsor’s
address |
1130 VICTORY BLVD., STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
| Administrator’s EIN |
132697275 |
| Plan administrator’s name |
STEPHEN W. HORNYAK, M.D., P.C. |
| Plan administrator’s
address |
200 PARK AVENUE, 53RD FLOOR, NEW YORK, NY, 10166 |
| Administrator’s telephone number |
7184423400 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-12 |
| Name of individual signing |
STEPHEN HORNYAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STEPHEN W. HORNYAK, M.D. P.C. PROFIT SHARING TRUST
|
2010
|
132697275
|
2011-07-13
|
STEPHEN W. HORNYAK, M.D., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
1988-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7184423400
|
| Plan sponsor’s mailing address |
200 PARK AVENUE, 53RD FLOOR, NEW YORK, NY, 10166
|
| Plan sponsor’s
address |
1130 VICTORY BLVD., STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
| Administrator’s EIN |
132697275 |
| Plan administrator’s name |
STEPHEN W. HORNYAK, M.D., P.C. |
| Plan administrator’s
address |
200 PARK AVENUE, 53RD FLOOR, NEW YORK, NY, 10166 |
| Administrator’s telephone number |
7184423400 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-12 |
| Name of individual signing |
STEPHEN HORNYAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STEPHEN W. HORNYAK, M.D., P.C. PROFIT SHARING TRUST
|
2009
|
132697275
|
2011-07-14
|
STEPHEN W. HORNYAK, M.D., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
004
|
| Effective date of plan |
1988-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7184423400
|
| Plan sponsor’s mailing address |
200 PARK AVENUE, 53RD FL., NEW YORK, NY, 10166
|
| Plan sponsor’s
address |
1130 VICTORY BLVD., STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
| Administrator’s EIN |
132697275 |
| Plan administrator’s name |
STEPHEN W. HORNYAK, M.D., P.C. |
| Plan administrator’s
address |
200 PARK AVENUE, 53RD FL., NEW YORK, NY, 10166 |
| Administrator’s telephone number |
7184423400 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-13 |
| Name of individual signing |
STEPHEN HORNYAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
