MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2020
|
132704370
|
2021-11-08
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, APT. 1A, NEW YORK, NY, 10128
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2019
|
132704370
|
2020-10-06
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, APT. 1A, NEW YORK, NY, 10128
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2018
|
132704370
|
2019-10-31
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10128
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2017
|
132704370
|
2018-09-20
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10128
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2016
|
132704370
|
2017-11-14
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10128
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2015
|
132704370
|
2016-08-17
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10018
|
Signature of
Role |
Plan administrator |
Date |
2016-08-17 |
Name of individual signing |
MICHAEL E. GRIBETZ |
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2014
|
132704370
|
2015-11-18
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10018
|
Signature of
Role |
Plan administrator |
Date |
2015-11-18 |
Name of individual signing |
MICHAEL E. GRIBETZ |
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2013
|
132704370
|
2014-05-24
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10018
|
Signature of
Role |
Plan administrator |
Date |
2014-05-24 |
Name of individual signing |
MICHAEL E. GRIBETZ |
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2012
|
132704370
|
2013-11-06
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10018
|
Signature of
Role |
Plan administrator |
Date |
2013-11-06 |
Name of individual signing |
MICHAEL E. GRIBETZ |
|
|
MICHAEL E. GRIBETZ, M.D., P.C. RETIREMENT TRUST
|
2011
|
132704370
|
2012-09-17
|
MICHAEL E. GRIBETZ, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2128311300
|
Plan sponsor’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10018
|
Plan administrator’s name and address
Administrator’s EIN |
132704370 |
Plan administrator’s name |
MICHAEL E. GRIBETZ, M.D., P.C. |
Plan administrator’s
address |
1155 PARK AVENUE, NEW YORK, NY, 10018 |
Administrator’s telephone number |
2128311300 |
Signature of
Role |
Plan administrator |
Date |
2012-09-17 |
Name of individual signing |
MICHAEL E. GRIBETZ |
|
|