ACADEMY MEDICAL CARE P.C. 401(K) P/S PLAN
|
2023
|
203648988
|
2024-09-26
|
ACADEMY MEDICAL CARE P.C.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
1212684272
|
Plan sponsor’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034
|
Signature of
Role |
Plan administrator |
Date |
2024-09-26 |
Name of individual signing |
INES HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-26 |
Name of individual signing |
INES HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY MEDICAL CARE P.C. 401(K) P/S PLAN
|
2022
|
203648988
|
2023-09-14
|
ACADEMY MEDICAL CARE P.C.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034
|
Plan administrator’s name and address
Administrator’s EIN |
203648988 |
Plan administrator’s name |
ACADEMY MEDICAL CARE P.C. |
Plan administrator’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034 |
Signature of
Role |
Plan administrator |
Date |
2023-09-14 |
Name of individual signing |
INES HERNANDEZ |
|
|
ACADEMY MEDICAL CARE P.C. 401(K) P/S PLAN
|
2021
|
203648988
|
2022-09-29
|
ACADEMY MEDICAL CARE P.C.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034
|
Plan administrator’s name and address
Administrator’s EIN |
203648988 |
Plan administrator’s name |
ACADEMY MEDICAL CARE P.C. |
Plan administrator’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034 |
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
INES HERNANDEZ |
|
|
ACADEMY MEDICAL CARE P.C. 401(K) P/S PLAN
|
2020
|
203648988
|
2021-10-07
|
ACADEMY MEDICAL CARE P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034
|
Plan administrator’s name and address
Administrator’s EIN |
203648988 |
Plan administrator’s name |
ACADEMY MEDICAL CARE P.C. |
Plan administrator’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034 |
Signature of
Role |
Plan administrator |
Date |
2021-10-07 |
Name of individual signing |
INES HERNANDEZ |
|
|
ACADEMY MEDICAL CARE P.C. 401(K) P/S PLAN
|
2019
|
203648988
|
2020-10-01
|
ACADEMY MEDICAL CARE P.C.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034
|
Plan administrator’s name and address
Administrator’s EIN |
203648988 |
Plan administrator’s name |
ACADEMY MEDICAL CARE P.C. |
Plan administrator’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034 |
Signature of
Role |
Plan administrator |
Date |
2020-10-01 |
Name of individual signing |
INES HERNANDEZ |
|
|
ACADEMY MEDICAL CARE P.C. 401(K) P/S PLAN
|
2018
|
203648988
|
2019-10-04
|
ACADEMY MEDICAL CARE P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034
|
Plan administrator’s name and address
Administrator’s EIN |
203648988 |
Plan administrator’s name |
ACADEMY MEDICAL CARE P.C. |
Plan administrator’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034 |
Signature of
Role |
Plan administrator |
Date |
2019-10-04 |
Name of individual signing |
INES HERNANDEZ |
|
|
ACADEMY MEDICAL CARE P.C. 401(K) P/S PLAN
|
2017
|
203648988
|
2018-10-06
|
ACADEMY MEDICAL CARE P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034
|
Plan administrator’s name and address
Administrator’s EIN |
203648988 |
Plan administrator’s name |
ACADEMY MEDICAL CARE P.C. |
Plan administrator’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034 |
Signature of
Role |
Plan administrator |
Date |
2018-10-06 |
Name of individual signing |
INES HERNANDEZ |
|
|
ACADEMY MEDICAL CARE P.C. 401(K) P/S PLAN
|
2016
|
203648988
|
2017-06-08
|
ACADEMY MEDICAL CARE P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034
|
Plan administrator’s name and address
Administrator’s EIN |
203648988 |
Plan administrator’s name |
ACADEMY MEDICAL CARE P.C. |
Plan administrator’s
address |
571 ACADEMY ST APT GLE, NEW YORK, NY, 10034 |
Signature of
Role |
Plan administrator |
Date |
2017-06-08 |
Name of individual signing |
INES HERNANDEZ |
|
|