FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN
|
2022
|
133749136
|
2023-05-11
|
FRANCIS R. PELHAM, M.D., PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2023-05-11 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN
|
2021
|
133749136
|
2022-07-14
|
FRANCIS R. PELHAM, M.D., PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN
|
2020
|
133749136
|
2021-09-03
|
FRANCIS R. PELHAM, M.D., PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2021-09-03 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, M.D., PLLC CASH BALANCE PLAN
|
2020
|
133749136
|
2021-09-23
|
FRANCIS R. PELHAM, M.D., PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2021-09-23 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN
|
2020
|
133749136
|
2021-09-03
|
FRANCIS R. PELHAM, M.D., PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2021-09-03 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN
|
2019
|
133749136
|
2020-10-14
|
FRANCIS R. PELHAM, M.D., PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN
|
2019
|
133749136
|
2020-10-13
|
FRANCIS R. PELHAM, M.D., PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN
|
2018
|
133749136
|
2019-09-30
|
FRANCIS R. PELHAM, M.D., PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN
|
2018
|
133749136
|
2019-09-30
|
FRANCIS R. PELHAM, M.D., PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
FRANCIS PELHAM |
|
|
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN
|
2017
|
133749136
|
2018-10-12
|
FRANCIS R. PELHAM, M.D., PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127722400
|
Plan sponsor’s
address |
1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028
|
|