CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN
|
2010
|
160993858
|
2011-06-02
|
CONCORD MEDICAL GROUP, P.C.
|
34
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-04-01
|
Business code |
621491
|
Sponsor’s telephone number |
7165923635
|
Plan sponsor’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442
|
Plan administrator’s name and address
Administrator’s EIN |
160993858 |
Plan administrator’s name |
CONCORD MEDICAL GROUP, P.C. |
Plan administrator’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442 |
Administrator’s telephone number |
7165923635 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
SHIRLEY QUICK |
|
Role |
Employer/plan sponsor |
Date |
2011-06-02 |
Name of individual signing |
SHIRLEY QUICK |
|
|
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN
|
2010
|
160993858
|
2011-07-01
|
CONCORD MEDICAL GROUP, P.C.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-04-01
|
Business code |
621491
|
Sponsor’s telephone number |
7165923635
|
Plan sponsor’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442
|
Plan administrator’s name and address
Administrator’s EIN |
160993858 |
Plan administrator’s name |
CONCORD MEDICAL GROUP, P.C. |
Plan administrator’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442 |
Administrator’s telephone number |
7165923635 |
Signature of
Role |
Plan administrator |
Date |
2011-07-01 |
Name of individual signing |
SHIRLEY QUICK |
|
Role |
Employer/plan sponsor |
Date |
2011-07-01 |
Name of individual signing |
SHIRLEY QUICK |
|
|
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN
|
2010
|
160993858
|
2011-09-12
|
CONCORD MEDICAL GROUP, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-04-01
|
Business code |
621491
|
Sponsor’s telephone number |
7165923635
|
Plan sponsor’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442
|
Plan administrator’s name and address
Administrator’s EIN |
160993858 |
Plan administrator’s name |
CONCORD MEDICAL GROUP, P.C. |
Plan administrator’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442 |
Administrator’s telephone number |
7165923635 |
Signature of
Role |
Plan administrator |
Date |
2011-09-12 |
Name of individual signing |
SHIRLEY QUICK |
|
Role |
Employer/plan sponsor |
Date |
2011-09-12 |
Name of individual signing |
SHIRLEY QUICK |
|
|
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN
|
2010
|
160993858
|
2011-06-14
|
CONCORD MEDICAL GROUP, P.C.
|
34
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-04-01
|
Business code |
621491
|
Sponsor’s telephone number |
7165923635
|
Plan sponsor’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442
|
Plan administrator’s name and address
Administrator’s EIN |
160993858 |
Plan administrator’s name |
CONCORD MEDICAL GROUP, P.C. |
Plan administrator’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442 |
Administrator’s telephone number |
7165923635 |
Signature of
Role |
Plan administrator |
Date |
2011-06-14 |
Name of individual signing |
SHIRLEY QUICK |
|
Role |
Employer/plan sponsor |
Date |
2011-06-14 |
Name of individual signing |
SHIRLEY QUICK |
|
|
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN
|
2009
|
160993858
|
2010-07-14
|
CONCORD MEDICAL GROUP, P.C.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165923600
|
Plan sponsor’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442
|
Plan administrator’s name and address
Administrator’s EIN |
160993858 |
Plan administrator’s name |
CONCORD MEDICAL GROUP, P.C. |
Plan administrator’s
address |
210 E MAIN ST, SPRINGVILLE, NY, 141411442 |
Administrator’s telephone number |
7165923600 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
PRISCILLA DALE |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
SHIRLEY QUICK |
|
|